TY - JOUR
T1 - Ultra-wide field fundus photography using eye steering technique in patients with symptomatic posterior vitreous detachment
AU - Kim, Min Han
AU - Oh, Jong Hyun
N1 - Publisher Copyright:
© 2018 The Korean Ophthalmological Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - Eye steering technique
KW - Optos
KW - Posterior vitreous detachment
KW - Retinal break
KW - Ultra-wide field fundus photography
UR - http://www.scopus.com/inward/record.url?scp=85059634622&partnerID=8YFLogxK
U2 - 10.3341/jkos.2018.59.12.1160
DO - 10.3341/jkos.2018.59.12.1160
M3 - Article
AN - SCOPUS:85059634622
SN - 0378-6471
VL - 59
SP - 1160
EP - 1165
JO - Journal of Korean Ophthalmological Society
JF - Journal of Korean Ophthalmological Society
IS - 12
ER -