Optomap ultrawide field imaging for detecting peripheral retinal lesions in 1725 high myopic eyes before implantable collamer lens surgery

作者: Danjuan Yang , Meiyan Li , Ruoyan Wei , Ye Xu , Jianmin Shang

DOI: 10.1111/CEO.13809

关键词: Refractive errorRetinal holeSurgeryTearsPeripheralContact lensMedicineRetinalPeripheral Retinal DegenerationImplantable collamer lens

摘要: IMPORTANCE Identifying peripheral retinal lesions in high myopia patients before implantable collamer lens (ICL) surgery by nonmydriatic Optomap ultrawide field imaging. BACKGROUND To investigate specificity and sensitivity of imaging for detecting ICL surgery. DESIGN Hospital-based, cross-sectional study. PARTICIPANTS A total 1725 myopic eyes 897 candidates were included this METHODS Patients with scheduled routine ophthalmic examination implantation. Nonmydriatic was applied potential MAIN OUTCOME MEASURES Presence lesions. RESULTS Of eyes, 344 (19.94%) had total; 75 (4.35%) holes/tears; 313 (18.14%) degenerations. Sensitivity holes/tears degenerations 57.33% (95% confidence interval [CI]: 45.38-68.69) 65.18% CI: 59.61-70.45). Specificity 99.58% 99.13-99.83) 99.08% 98.43-99.51), respectively. 22.70% (32/141) omitted under needed intervention. Longer axial length (odds ratio [OR]: 1.16, P < .01), more severe refractive error (OR: 1.05, P < .01) older age 1.03, proved to be risk factors myopes. CONCLUSIONS AND RELEVANCE is a reliable adjunctive tool moderate identifying recording myopes preoperative examination. could not entirely replace Goldmann three-mirror contact candidates.

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