Volume 20 Issue 11
Nov.  2022
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CHEN Jian-ying, HU Xin-xin, WANG Sheng-zhan, CHEN Ting-ting. Screening to detect peripheral retinal lesions in myopic eyes using ultrawide field scanning laser ophthalmoscopes in the outpatient general ophthalmology clinics[J]. Chinese Journal of General Practice, 2022, 20(11): 1820-1823. doi: 10.16766/j.cnki.issn.1674-4152.002710
Citation: CHEN Jian-ying, HU Xin-xin, WANG Sheng-zhan, CHEN Ting-ting. Screening to detect peripheral retinal lesions in myopic eyes using ultrawide field scanning laser ophthalmoscopes in the outpatient general ophthalmology clinics[J]. Chinese Journal of General Practice, 2022, 20(11): 1820-1823. doi: 10.16766/j.cnki.issn.1674-4152.002710

Screening to detect peripheral retinal lesions in myopic eyes using ultrawide field scanning laser ophthalmoscopes in the outpatient general ophthalmology clinics

doi: 10.16766/j.cnki.issn.1674-4152.002710
Funds:

 82000887

 2018A27

 2022S052

  • Received Date: 2022-06-01
    Available Online: 2022-12-30
  •   Objective  To detect the incidence of peripheral retinal lesions in healthy myopic eyes using ultrawide field scanning laser ophthalmoscopes, and further explore the feasibility and significance of screening to detect peripheral retinal lesions in myopic eyes using ultrawide field scanning laser ophthalmoscopes in the outpatient general ophthalmology.  Methods  This retrospective study included a total of 210 healthy myopic patients (210 eyes), who had visited the outpatient general ophthalmology clinics of the Affiliated People ' s Hospital of Ningbo University. The eyes were divided into three groups based on the spherical equivalent refraction (SER): low myopia (≤ 3.00 D, 43 cases), moderate myopia (3.00-6.00 D, 98 cases) and high myopia (≥ 6.00 D, 69 cases). An IOL-Master was used to measure the axial length and corneal curvature. The retina was photographed with Optomap Daytona 200T ultrawide field scanning laser ophthalmoscopes and the peripheral retinal lesions was recorded.  Results  The mean age of the patients was (24.97±7.39) years, and the mean SER was (-5.02±2.11) D. The detection rate was 30.95% (65 cases) in peripheral retinal lesions, 26.19% (55 cases) in white without pressure (WWOP), and 6.67% (14 cases) in the lattice degeneration (LD), respectively. The high myopia group showed the highest detection rate of peripheral retinal lesions (46.38%, 32 cases) and WWOP (39.13%, 27 cases). Meanwhile, low myopia group showed the lowest detection rate of peripheral retinal lesions (11.63%, 5 cases) and WWOP (9.30%, 4 cases). The detection rate of LD in high myopia group [14.49% (10 cases)] were higher than that in moderate myopia group [3.06% (3 cases)] and low myopia group [2.32% (1 cases)]. The detection rate of peripheral retinal lesions, WWOP and LD in myopic eyes were positively correlated with the axial length and absolute values of SER, respectively (all P < 0.05).  Conclusion  Ultrawide field scanning laser ophthalmoscope is a potentially useful screening tool for the detection of peripheral retinal lesions in myopic eyes. Careful peripheral fundus examinations are needed for better early diagnosis and management regardless of myopia severity.

     

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