Identifiable Peripheral Retinal Lesions Using Ultra-Widefield Scanning Laser Ophthalmoscope and Its Usefulness in Myopic Patients.

Lee, Dong Hyun; Kim, Sung Soo; Kim, Min; Koh, Hyoung Jun

doi:2014.55.12.1814

J Korean Ophthalmol Soc > Volume 55(12); 2014 > Article

Original Article

Journal of the Korean Ophthalmological Society 2014;55(12):1814-1820.
DOI: https://doi.org/10.3341/jkos.2014.55.12.1814 Published online December 15, 2014.

Identifiable Peripheral Retinal Lesions Using Ultra-Widefield Scanning Laser Ophthalmoscope and Its Usefulness in Myopic Patients.

Dong Hyun Lee, Sung Soo Kim, Min Kim, Hyoung Jun Koh

Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. HJKOH@yuhs.ac

근시 환자의 임상진료 시 초광각 주사레이저검안경으로 발견 가능한 주변부 망막 소견 및 유용성

이동현⋅김성수⋅김 민⋅고형준

Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea

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.

Key Words: High myopia;Myopia;Optomap;Peripheral retina;Scanning laser ophthalmoscope