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PMID- 29246204
OWN - NLM
STAT- In-Process
LR  - 20171222
IS  - 1471-2415 (Electronic)
IS  - 1471-2415 (Linking)
VI  - 17
IP  - 1
DP  - 2017 Dec 15
TI  - The application of wide-field laser ophthalmoscopy in fundus examination before
      myopic refractive surgery.
PG  - 250
LID - 10.1186/s12886-017-0647-4 [doi]
AB  - BACKGROUND: To evaluate wide-field laser ophthalmoscopy (Optomap 200Tx) for
      screening retinal lesions before myopic refractive surgery. METHODS:
      Seventy-eight eyes of 78 consecutive refractive surgery candidates were included 
      in this study. All subjects underwent Optomap 200Tx, mydriatic slit-lamp lens
      examination and the Goldmann three-mirror contact lens examination, which was
      considered as the reference method for determining retinal lesions. RESULTS:
      Forty of 78 eyes had retinal lesions (51.28%) and three eyes had retinal breaks
      (3.85%), which were diagnosed by the Goldmann three-mirror contact lens
      examination. Compared to the Goldmann three-mirror contact lens examination, the 
      detection rate with the Optomap 200Tx was 91.73%% for retinal lesions, while the 
      detection rate of mydriatic slit-lamp lens exams was 81.20%. There were no
      statistically significant differences among the three methods used for the
      diagnoses of myopic conus, tessellation and retinal breaks(all p > 0.05). For
      peripheral retinal lesions, the detection rate of the Optomap 200Tx examinations 
      were similar to the Goldmann three-mirror contact lens exams (all p > 0.05), but 
      were higher than the results of slit-lamp lens examinations (all p < 0.05).
      Regarding the vitreoretinal adhesions, the Goldmann three-mirror contact lens
      examinations had higher detection rates than did the Optomap 200Tx examinations
      (p = 0.031). CONCLUSIONS: The Optomap 200Tx examinations is a convenient and
      feasible method to determine fundus pathological changes in myopic patients,
      especially for patients who can not endure pupil dilation. In order to avoid
      misdiagnosis of peripheral retinal lesions, Goldmann three-mirror contact lens
      examination is needed.
FAU - Liu, Lin
AU  - Liu L
AD  - Department of Ophthalmology, Shanghai Tenth People's Hospital, Tong Ji
      University, Shanghai, 200072, China.
FAU - Wang, Fang
AU  - Wang F
AD  - Department of Ophthalmology, Shanghai Tenth People's Hospital, Tong Ji
      University, Shanghai, 200072, China.
FAU - Xu, Ding
AU  - Xu D
AD  - Department of Ophthalmology, Shanghai Tenth People's Hospital, Tong Ji
      University, Shanghai, 200072, China.
FAU - Xie, Chunlei
AU  - Xie C
AD  - Department of Ophthalmology, Shanghai Tenth People's Hospital, Tong Ji
      University, Shanghai, 200072, China.
FAU - Zou, Jun
AU  - Zou J
AD  - Department of Ophthalmology, Shanghai Tenth People's Hospital, Tong Ji
      University, Shanghai, 200072, China. [email protected]
LA  - eng
GR  - 16ZR1426700/Shanghai Municipal Natural Science Foundation/United States
GR  - 17411950207/Project of Shanghai Science and Technology/United States
GR  - 1501219166/the Fundamental Research Funds for the Central Universities/United
      States
PT  - Journal Article
DEP - 20171215
PL  - England
TA  - BMC Ophthalmol
JT  - BMC ophthalmology
JID - 100967802
PMC - PMC5732481
OTO - NOTNLM
OT  - Optomap panoramic 200Tx
OT  - Refractive surgery
OT  - Wide-field laser ophthalmoscope
EDAT- 2017/12/17 06:00
MHDA- 2017/12/17 06:00
CRDT- 2017/12/17 06:00
PHST- 2016/09/17 00:00 [received]
PHST- 2017/12/04 00:00 [accepted]
PHST- 2017/12/17 06:00 [entrez]
PHST- 2017/12/17 06:00 [pubmed]
PHST- 2017/12/17 06:00 [medline]
AID - 10.1186/s12886-017-0647-4 [doi]
AID - 10.1186/s12886-017-0647-4 [pii]
PST - epublish
SO  - BMC Ophthalmol. 2017 Dec 15;17(1):250. doi: 10.1186/s12886-017-0647-4.