目的:评价超宽视野成像作为辅助诊断工具的临床应用价值,管理,非创伤性孔源性视网膜脱离的随访。
方法:对接受Optos®Optomap®P200Tx超宽视野成像的孔源性视网膜脱离患者进行回顾性分析。对UWF成像和间接检眼镜检查的脱离特征进行了比较,包括分离的程度,孔,视网膜固定术,和相关病理学。
结果:纳入34例患者的36只眼。术前,超宽视野成像更精确地记录了视网膜脱离的程度,劣等,和鼻象限在13.9%的病例中。在11.1%和19.4%的病例中,超宽场成像未能检测到上、下象限的视网膜孔,分别。在术后成像中,UWF照片未检测到视网膜固定术,在19.4%的病例中,眼底镜检查可见于上方和下方。与上级的超宽视野成像相比,临床检查中记录的脱离的时钟小时的平均差异,劣等,temporal,鼻象限分别为-0.18±0.84、0.41±1.16、0.08±1.08和-0.13±2.25小时,分别。
结论:超宽视野成像是记录血源性视网膜脱离及其术后修复的有用辅助手段。然而,检测视网膜裂孔,眼泪,术后瘢痕较差,尤其是在下界和上界。
OBJECTIVE: To evaluate the clinical utility of ultra-widefield imaging as an adjunctive tool in the diagnosis, management, and follow-up of eyes with non-traumatic rhegmatogenous retinal detachment.
METHODS: Retrospective chart review of patients with a rhegmatogenous retinal detachment who received ultra-widefield imaging with the Optos®
Optomap® P200Tx. Comparisons were made between UWF imaging and indirect ophthalmoscopy for features of detachments, including extent of detachment, holes, retinopexy, and related pathology.
RESULTS: Thirty-six eyes of 34 patients were included. Preoperatively, ultra-widefield imaging more precisely documented the extent of retinal detachments in the superior, inferior, and nasal quadrants in 13.9% of cases. Ultra-widefield imaging failed to detect retinal holes in the superior and inferior quadrants in 11.1% and 19.4% of cases, respectively. In postoperative imaging, UWF photos did not detect retinopexy which was ophthalmoscopy-visible both superiorly and inferiorly in 19.4% of cases. The mean differences in clock hours of the detachments as documented on the clinical exam compared to ultra-widefield imaging in the superior, inferior, temporal, and nasal quadrants were -0.18 ± 0.84, 0.41 ± 1.16, 0.08 ± 1.08, and -0.13 ± 2.25 hours, respectively.
CONCLUSIONS: Ultra-widefield imaging is a useful adjunct for documentation of rhegmatogenous retinal detachments and their postoperative repair. However, detection of retinal holes, tears, and postoperative scarring is poor, especially in the inferior and superior periphery.