We have located links that may give you full text access.
Ultra-widefield Imaging Detection Rate in Identifying Peripheral Retinal Tears in Single versus Montage of Peripheral Sweeps.
Retina 2023 November 14
PURPOSE: To compare the detection rate of orthogonal, directed peripheral steering, and auto-montaged images with ultra-widefield (UWF) imaging and the factors influencing the ability to identify retinal breaks.
DESIGN: Retrospective cohort study.
METHODS: 376 treatment-naïve eyes (349 patients) that underwent laser retinopexy for retinal breaks between 2015-2021. Pre-treatment UWF orthogonal, peripheral steering, and auto-montage were cross-referenced to scleral-depressed examination to determine whether images successfully visualized all retinal breaks. Total retinal area visualized was divided by its optic disc area (pixels) to calculate relative retinal area (RRA). Potential associations were assessed by linear regression analysis.
RESULTS: 162 eyes (154 patients) met inclusion criteria. Orthogonal, peripheral steering, and auto-montage images showed detection rates of 47.5%, 90.7%, and 80.0% respectively. RRA increased from orthogonal versus montage by 34.7%26.5% (meanSD), which increased detection rate by 90.8% (p=0.006). In linear probability models, vertical meridian tears decreased probability of identification in orthogonal, peripheral steering, and auto-montage by -26.6%, -86.2% and -68.7% respectively (p-values<0.001), and horizontal meridian tears increased the probability by 62.2%, 92.9%, and 85.5% (p-values<0.001). Tears posterior to the equator in orthogonal images increased the probability (91.4%,p<0.001). Artifacts such as lids/lashes, reflection, and faceguard decreased the probability in directed peripheral steering by -28.6%, -50.0%, and -66.7% respectively, (p=0.020, p=0.049 and p=0.016).
CONCLUSIONS: Utilizing directed peripheral steering and auto-montage increases RRA and detection rate of identifying peripheral retinal breaks. Tears in horizontal meridians or posterior to the equator increase the probability of identification. Common UWF imaging artifacts can significantly limit the probability of identifying retinal tears.
DESIGN: Retrospective cohort study.
METHODS: 376 treatment-naïve eyes (349 patients) that underwent laser retinopexy for retinal breaks between 2015-2021. Pre-treatment UWF orthogonal, peripheral steering, and auto-montage were cross-referenced to scleral-depressed examination to determine whether images successfully visualized all retinal breaks. Total retinal area visualized was divided by its optic disc area (pixels) to calculate relative retinal area (RRA). Potential associations were assessed by linear regression analysis.
RESULTS: 162 eyes (154 patients) met inclusion criteria. Orthogonal, peripheral steering, and auto-montage images showed detection rates of 47.5%, 90.7%, and 80.0% respectively. RRA increased from orthogonal versus montage by 34.7%26.5% (meanSD), which increased detection rate by 90.8% (p=0.006). In linear probability models, vertical meridian tears decreased probability of identification in orthogonal, peripheral steering, and auto-montage by -26.6%, -86.2% and -68.7% respectively (p-values<0.001), and horizontal meridian tears increased the probability by 62.2%, 92.9%, and 85.5% (p-values<0.001). Tears posterior to the equator in orthogonal images increased the probability (91.4%,p<0.001). Artifacts such as lids/lashes, reflection, and faceguard decreased the probability in directed peripheral steering by -28.6%, -50.0%, and -66.7% respectively, (p=0.020, p=0.049 and p=0.016).
CONCLUSIONS: Utilizing directed peripheral steering and auto-montage increases RRA and detection rate of identifying peripheral retinal breaks. Tears in horizontal meridians or posterior to the equator increase the probability of identification. Common UWF imaging artifacts can significantly limit the probability of identifying retinal tears.
Full text links
Related Resources
Trending Papers
Consensus Statement on Vitamin D Status Assessment and Supplementation: Whys, Whens, and Hows.Endocrine Reviews 2024 April 28
The Tricuspid Valve: A Review of Pathology, Imaging, and Current Treatment Options: A Scientific Statement From the American Heart Association.Circulation 2024 April 26
British Society of Gastroenterology guidelines for the management of hepatocellular carcinoma in adults.Gut 2024 April 17
Interstitial Lung Disease: A Review.JAMA 2024 April 23
Ventilator Waveforms May Give Clues to Expiratory Muscle Activity.American Journal of Respiratory and Critical Care Medicine 2024 April 25
Systemic lupus erythematosus.Lancet 2024 April 18
Acute Kidney Injury and Electrolyte Imbalances Caused by Dapagliflozin Short-Term Use.Pharmaceuticals 2024 March 27
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app