Clinic-based ultra-wide field retinal imaging in a pediatric population

International Journal of Retina and Vitreous

David Sarraf¹  Colin A. McCannel¹  SriniVas R. Sadda¹  Steven D. Schwartz¹  Nikisha Kothari¹  Tara A. McCannel¹  Stacy Pineles¹  Irena Tsui¹  Gad Heilweil¹  Federico Velez¹  Gary Holland¹  Tania Onclinx¹ 

[1] Department of Ophthalmology, Stein Eye Institute, Doheny Eye Institute, University of California, Los Angeles;

关键词: Wide-field imaging;    Pediatric imaging;    Fluorescein angiography;   

DOI  :  10.1186/s40942-019-0171-1

来源: DOAJ

【 摘 要 】

Abstract Background Pediatric retinal disorders, although uncommon, can be challenging to assess in the clinic setting and often requires an exam under anesthesia. The purpose of our study was to evaluate the use of ultra-wide field retinal imaging in children without sedation in an outpatient clinic. Methods We performed a retrospective case series of patients 18 years or younger who received ultra-wide field imaging over a one year period. The age, gender, and clinical course were documented. Color fundus and red-free images were reviewed to assess field of view. Ultra-wide field autofluorescence (UWF-FAF) was evaluated for abnormal autofluorescence patterns and ultra-wide field fluorescein angiography (UWF-FA) was assessed for angiographic phase and field of view. Results A total of 107 eyes of 55 patients with a mean age of 11.1 years (SD 3.7 years, range 3–18 years) were evaluated. Twenty-seven (49%) patients were male. The most common diagnosis was retinopathy of prematurity (7 of 55 patients, 12.7%) followed by trauma (7.4%), Coats disease (7.4%), and rhegmatogenous retinal detachment (7.4%). The number of quadrants visualized anterior to the equator correlated with patient age (r = 0.4, p < 0.01). On UWF-FA, 6 of 14 patients (43%) had images of the arterial phase captured and 14 of 14 patients (100%) had images of the venous phase or later captured. Conclusions We demonstrated that UWF imaging is obtainable in children as young as 3 years old without sedation. UWF fundus photography, UWF-FAF and UWF-FA were useful clinical adjuvants to examination and provide additional information for documenting and monitoring pediatric retinal diseases.

【 授权许可】

Unknown