Role of retinal image-based counseling in the treatment of peripheral retinal lesions

Sharma, Ashish; Dongre, Pankaj; Bellala, Keerthi; Reddy, P. Sujith; Kuppermann, Baruch D.; Bandello, Francesco

doi:10.1038/s41433-018-0196-y

Cited by 2 publications

(1 citation statement)

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“…It has a profound advantage over traditional retinal examinations like indirect binocular ophthalmoscope, Goldmann three mirror contact lens by providing image-based counselling for patients with peripheral retinal lesions. 14 By manipulating eye-steering technique, there were reported cases that lesions that missed out in standard gaze could be detected. 15 16 Sensitivity of detecting peripheral retinal lesions in UWFI would theoretically be elevated under eye-steering setting.…”

Section: Introductionmentioning

confidence: 99%

Application of mydriasis and eye steering in ultrawide field imaging for detecting peripheral retinal lesions in myopic patients

Yang

Shen

et al. 2022

Br J Ophthalmol

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PurposeTo compare mydriatic and eye-steering ultrawide field imaging (UWFI) with standard non-mydriatic UWFI examination in detecting peripheral retinal lesions in myopic patients.MethodsCross-sectional, observational study. 220 eyes of 110 myopic patients with known peripheral retinal lesions in at least one eye under Goldmann three mirror contact lens examination were recruited. Non-mydriatic standard and eye-steering UWFI images were taken centrally and with eye-steering technique in upper, lower, nasal and temporal gazes under Optomap UWFI (Daytona, Optos, UK). Mydriatic standard and eye-steering UWFI was captured in central gaze and four different peripheral gazes. Sensitivity of detecting peripheral retinal lesions under different UWFI settings was compared.Results141 (64.09%) eyes were with peripheral retinal lesions. The sensitivity for detecting peripheral lesions from low to high was 41.84% (95% CI 33.62% to 50.54%) under non-mydriatic standard UWFI setting, 52.48% (95% CI 44.08% to 60.75%) under mydriatic standard setting, 75.18% (95% CI 67.21% to 82.06%) under non-mydriatic eye-steering setting and 86.52% (95% CI 79.76% to 91.69%) under mydriatic eye-steering setting. Both mydriasis and eye-steering technique increased sensitivity of detecting peripheral lesions with statistical significance (p<0.001). By applying eye-steering technique, sensitivity of detecting lesions located in superior and inferior quadrants witnessed a greater increase compared with other two quadrants (p<0.05). Neither spherical equivalence (p>0.05) nor axial length (p>0.05) was an independent influence factor for detecting peripheral lesions.ConclusionsEye-steering technique and mydriasis could both efficiently improve the sensitivity of detecting peripheral retinal lesions in myopic patients. Lesions of superior and inferior quadrants benefited more from eye-steering technique.

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Section: Introductionmentioning

confidence: 99%