文献详情
The application of wide-field laser ophthalmoscopy in fundus examination before myopic refractive surgery
文献类型期刊论文
作者Liu, Lin[1];Wang, Fang[2];Xu, Ding[3];Xie, Chunlei[4];Zou, Jun[5]
机构
通讯作者Zou, J (reprint author), Tongji Univ, Shanghai Peoples Hosp 10, Dept Ophthalmol, Shanghai 200072, Peoples R China.
2017
期刊名称BMC OPHTHALMOLOGY影响因子和分区
17
1
页码范围250
增刊正刊
收录情况SCI(E)(WOS:000418265600001)  PubMed(29246204)  
所属部门医院
语言外文
ISSN1471-2415
DOI10.1186/s12886-017-0647-4
人气指数33
浏览次数33
基金Shanghai Municipal Natural Science Foundation [16ZR1426700]; Project of Shanghai Science and Technology [17411950207]; Fundamental Research Funds for the Central Universities [1501219166]
关键词Wide-field laser ophthalmoscope; Refractive surgery; Optomap panoramic 200Tx
摘要Background: To evaluate wide-field laser ophthalmoscopy (Optomap 200Tx) for screening retinal lesions before myopic refractive surgery. Methods: Seventy-eight eyes of 78 consecutive refractive surgery candidates were included in this study. All subjects underwent Optomap 200Tx, mydriatic slit-lamp lens examination and the Goldmann three-mirror contact lens examination, which was considered as the reference method for determining retinal lesions. Results: Forty of 78 eyes had retinal lesions (51.28%) and three eyes had retinal breaks (3.85%), which were diagnosed by the Goldmann three-mirror contact lens examination. Compared to the Goldmann three-mirror contact lens examination, the detection rate with the Optomap 200Tx was 91.73%% for retinal lesions, while the detection rate of mydriatic slit-lamp lens exams was 81.20%. There were no statistically significant differences among the three methods used for the diagnoses of myopic conus, tessellation and retinal breaks(all p > 0.05). For peripheral retinal lesions, the detection rate of the Optomap 200Tx examinations were similar to the Goldmann three-mirror contact lens exams (all p > 0.05), but were higher than the results of slit-lamp lens examinations (all p < 0.05). Regarding the vitreoretinal adhesions, the Goldmann three-mirror contact lens examinations had higher detection rates than did the Optomap 200Tx examinations (p = 0.031). Conclusions: The Optomap 200Tx examinations is a convenient and feasible method to determine fundus pathological changes in myopic patients, especially for patients who can not endure pupil dilation. In order to avoid misdiagnosis of peripheral retinal lesions, Goldmann three-mirror contact lens examination is needed.
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