Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
권호 표지
DOI QR코드

DOI QR Code

Ultra-wide Field Fundus Photography Using Eye Steering Technique in Patients with Symptomatic Posterior Vitreous Detachment

후유리체박리 환자에서 눈방향전환 초광각안저촬영술의 유용성

  • Kim, Min Han (Department of Ophthalmology, Dongguk University Ilsan Hospital) ;
  • Oh, Jong-Hyun (Department of Ophthalmology, Dongguk University Ilsan Hospital)
  • 김민한 (동국대학교 일산병원 안과) ;
  • 오종현 (동국대학교 일산병원 안과)
  • Received : 2018.07.05
  • Accepted : 2018.11.23
  • Published : 2018.12.15
⟨ Previous Next ⟩

Abstract

Purpose: To evaluate the availability of ultra-wide field fundus photography based on eye steering technique to diagnose retinal breaks in patients with symptomatic posterior vitreous detachment (PVD). Methods: The medical records of patients with symptomatic PVD were reviewed. Retinal breaks were independently identified using four eye steering capture images of ultra-wide field fundus photographs. The sensitivity and specificity of eye steering capture imaging for diagnosing retinal breaks were calculated. Results: A total of 94 eyes of 94 patients were included. Using fundus examination after pupil dilatation, retinal breaks were diagnosed in 42 (45%) eyes. The sensitivity of the eye steering capture imaging was 98% (95% confidence interval [CI]: 88-100%), and the specificity was 98% (95% CI: 90-100%). Of the 58 retinal tears, 28 (97%) involving the superior quadrant, 10 (100%) involving the inferior quadrant, 6 (100%) involving the nasal quadrant, and 13 (100%) involving the temporal quadrant were identified using eye steering capture images. Conclusions: Ultra-wide field fundus photography based on eye steering technique was useful for diagnosing retinal breaks in patients with symptomatic PVD. However, eye steering photography could not adequately replace the fundus examination after pupil dilatation in all cases.

목적: 증상이 있는 후유리체박리 환자에서 망막열공을 진단하기 위한 초광각안저촬영기의 눈방향전환 촬영술의 유용성을 알아보고자 하였다. 대상과 방법: 비문증 또는 광시증으로 내원하여 후유리체박리를 진단받은 환자의 의무기록을 후향적으로 조사하였다. 초광각안저촬영술의 눈방향전환 촬영 사진 4장을 이용하여 독립적으로 망막열공을 확인하였고, 눈방향전환 초광각안저촬영술의 망막열공 진단에 대한 민감도와 특이도를 구하였다. 결과: 총 94명의 94안이 연구에 포함되었다. 산동 후 시행한 안저검사에서 42안(45%)이 망막열공을 진단받았다. 망막열공 진단에 대한 눈방향전환 초광각안저촬영술의 민감도는 98% (95% 신뢰구간 88-100%), 특이도는 98% (95% 신뢰구간 90-100%)였다. 전체 망막열공 58개 중에 눈방향전환 초광각안저촬영술에서 상측 28개(97%)와 하측 10개(100%), 비측 6개(100%), 이측 13개(100%)의 망막열공이 확인되었다. 결론: 눈방향전환 초광각안저촬영술은 증상이 있는 후유리체박리 환자에서 망막열공을 진단하는 데 유용하다. 그렇지만 모든 증례에서 산동 후 안저검사를 대체할 수는 없었다.

Keywords

Acknowledgement

Supported by : National Research Foundation of Korea (NRF)

References

  1. Hikichi T, Hirokawa H, Kado M, et al. Comparison of the prevalence of posterior vitreous detachment in whites and Japanese. Ophthalmic Surg 1995;26:39-43.
  2. Oh JH, Oh J, Roh HC. Vitreous hyper-reflective dots in optical coherence tomography and retinal tear in patients with acute posterior vitreous detachment. Curr Eye Res 2017;42:1179-84. https://doi.org/10.1080/02713683.2017.1289226
  3. Shea M, Davis MD, Kamel I. Retinal breaks without detachment, treated and untreated. Mod Probl Ophthalmol 1974;12:97-102.
  4. Campbell JP, Leder HA, Sepah YJ, et al. Wide-field retinal imaging in the management of noninfectious posterior uveitis. Am J Ophthalmol 2012;154:908-11.e2. https://doi.org/10.1016/j.ajo.2012.05.019
  5. Kornberg DL, Klufas MA, Yannuzzi NA, et al. Clinical utility of ultra-widefield imaging with the optos optomap compared with indirect ophthalmoscopy in the setting of non-traumatic rhegmatogenous retinal detachment. Semin Ophthalmol 2016;31:505-12.
  6. Prasad PS, Oliver SC, Coffee RE, et al. Ultra wide-field angiographic characteristics of branch retinal and hemicentral retinal vein occlusion. Ophthalmology 2010;117:780-4. https://doi.org/10.1016/j.ophtha.2009.09.019
  7. Silva PS, Cavallerano JD, Sun JK, et al. Peripheral lesions identified by mydriatic ultrawide field imaging: distribution and potential impact on diabetic retinopathy severity. Ophthalmology 2013;120:2587-95. https://doi.org/10.1016/j.ophtha.2013.05.004
  8. Soliman AZ, Silva PS, Aiello LP, Sun JK. Ultra-wide field retinal imaging in detection, classification, and management of diabetic retinopathy. Semin Ophthalmol 2012;27:221-7. https://doi.org/10.3109/08820538.2012.708812
  9. Spaide RF. Peripheral areas of nonperfusion in treated central retinal vein occlusion as imaged by wide-field fluorescein angiography. Retina 2011;31:829-37. https://doi.org/10.1097/IAE.0b013e31820c841e
  10. Theodoropoulou S, Ainsworth S, Blaikie A. Ultra-wide field imaging of retinopathy of prematurity (ROP) using Optomap-200TX. BMJ Case Rep 2013;2013. pii: bcr2013200734.
  11. Wessel MM, Aaker GD, Parlitsis G, et al. Ultra-wide-field angiography improves the detection and classification of diabetic retinopathy. Retina 2012;32:785-91. https://doi.org/10.1097/IAE.0b013e3182278b64
  12. Lee DH, Kim SS, Kim M, Koh HJ. Identifiable peripheral retinal lesions using ultra-widefield scanning laser ophthalmoscope and its usefulness in myopic patients. J Korean Ophthalmol Soc 2014;55:1814-20. https://doi.org/10.3341/jkos.2014.55.12.1814
  13. Mackenzie PJ, Russell M, Ma PE, et al. Sensitivity and specificity of the optos optomap for detecting peripheral retinal lesions. Retina 2007;27:1119-24. https://doi.org/10.1097/IAE.0b013e3180592b5c
  14. Khandhadia S, Madhusudhana KC, Kostakou A, et al. Use of optomap for retinal screening within an eye casualty setting. Br J Ophthalmol 2009;93:52-5. https://doi.org/10.1136/bjo.2008.148072
  15. Ahn HM, Rim TH, Chung EJ. Diagnostic availability of ultra-wide-field fundus imaging in Korean patient with retinal break. J Korean Ophthalmol Soc 2016;57:1254-9. https://doi.org/10.3341/jkos.2016.57.8.1254
  16. Ghasemi Falavarjani K, Wang K, Khadamy J, Sadda SR. Ultrawide-field imaging in diabetic retinopathy; An overview. J Curr Ophthalmol 2016;28:57-60. https://doi.org/10.1016/j.joco.2016.04.001
  17. Mojana F, Kozak I, Oster SF, et al. Observations by spectral-domain optical coherence tomography combined with simultaneous scanning laser ophthalmoscopy: imaging of the vitreous. Am J Ophthalmol 2010;149:641-50. https://doi.org/10.1016/j.ajo.2009.11.016

Cited by

  1. Incidence and Risk Factors of Epiretinal Membrane Following Acute Posterior Vitreous Detachment vol.61, pp.12, 2018, https://doi.org/10.3341/jkos.2020.61.12.1450