Wide-field retinal imaging in the management of noninfectious posterior uveitis.

作者: John Peter Campbell , Henry Alexander Leder , Yasir Jamal Sepah , Theresa Gan , James P Dunn

DOI: 10.1016/J.AJO.2012.05.019

关键词: OphthalmoscopyMedicineFluorescein angiographyWide fieldAngiographyPosterior uveitisProspective cohort studyObservational studyOphthalmologyPhysical examination

摘要: Purpose To determine whether the use of ultra wide-field imaging changes management or determination disease activity in patients with noninfectious posterior uveitis. Design Prospective, observational case series. Methods setting: Divisions Retina and Ocular Immunology at single academic medical center. patient population: Total 43 uveitis seen by 4 investigators Wilmer Eye Institute. procedures: Each underwent standard clinical examination, followed scanning laser ophthalmoscope (SLO) angiography. Investigators successively determined decisions based on examination plus simulated 30- 60-degree fluorescein angiography (FA) (obtained physically narrowing field view images), SLO images, FA. main outcome measures: The primary was percentage whose changed availability imaging, compared imaging. secondary detection without wide-angle Results Management altered 7 (16%) limited FA, whereas 21 (48%) had change ( P = .27). Conclusions index study, several design limitations, has suggested that may alter to standard-of-care examination. Additional studies, including longitudinal evaluations, are needed these findings, subsequent alterations, improve outcomes.

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