Identifiable Peripheral Retinal Lesions Using Ultra-Widefield Scanning Laser Ophthalmoscope and Its Usefulness in Myopic Patients.
10.3341/jkos.2014.55.12.1814
- Author:
Dong Hyun LEE
1
;
Sung Soo KIM
;
Min KIM
;
Hyoung Jun KOH
Author Information
1. Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. HJKOH@yuhs.ac
- Publication Type:Original Article
- Keywords:
High myopia;
Myopia;
Optomap;
Peripheral retina;
Scanning laser ophthalmoscope
- MeSH:
Humans;
Incidence;
Myopia;
Ophthalmoscopes*;
Retina;
Retinal Detachment;
Retinal Perforations;
Retinaldehyde*;
Sensitivity and Specificity;
Specialization
- From:Journal of the Korean Ophthalmological Society
2014;55(12):1814-1820
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To investigate identifiable peripheral retinal lesions in patients with myopia or high myopia and to evaluate the usefulness of ultra-widefield scanning laser ophthalmoscope in retina clinic settings. METHODS: We evaluated fundus images of 149 patients acquired using an ultra-widefield scanning laser ophthalmoscope. Manual fundus examination by a retinal specialist was performed and sensitivity and specificity were calculated by comparing the findings of the two different fundus examination methods. RESULTS: Variable peripheral retinal lesions were observed: lattice degeneration (24.1% in myopia, 36.6% in high myopia), white without pressure (17.7% in myopia, 20.7% in high myopia), retinal break (5.1% in myopia, 7.5% in high myopia) and retinal detachment (1.3% in myopia, 4.2% in high myopia). The incidence of lattice degeneration was significantly higher in myopic eyes than in highly myopic eyes (p = 0.043). The examination sensitivities were as follows: lattice degeneration (84.2% in myopia, 91.0% in high myopia), white without pressure (100.0% in both myopia and high myopia), retinal break (75.0% in myopia, 43.8% in high myopia) and retinal detachment (100.0% in myopia, 66.7% in high myopia). The examination specificities were 100.0% in all cases. CONCLUSIONS: Diagnostic sensitivities of ultra-widefield scanning laser ophthalmoscope were 90.8% in patients with myopia, 91.0% in patients with high myopia and 90.9% in totally myopic patients, which were relatively high values. Therefore, the ultra- widefield scanning laser ophthalmoscope is useful as auxiliary equipment for myopic patients in retina clinic settings.
