欧堡全景200Tx激光扫描检眼镜在白内障术后患者眼底检查中的应用  

Utility of optomap panoramic 200Tx in postoperative fundus examination among cataract patients

作　　者：彭婕[1] 张琦[1] 蔡璇[1] 陆吴懿 赵培泉[1] 

机构地区：[1]上海交通大学医学院附属新华医院眼科,中国上海市200092

出　　处：《国际眼科杂志》2014年第9期1686-1688,共3页International Eye Science

摘　　要：目的:研究欧堡全景200Tx激光扫描检眼镜(简称Optomap 200Tx)在白内障术后患者早期眼底筛查的应用价值。方法:对2013-11-18/12-31来我院就诊的白内障患者146例161眼,均为连续病例,于术后1wk行非散瞳下直接检眼镜检查、非散瞳下Optomap 200Tx检查、散瞳后裂隙灯下前置镜检查,并对三种检查方法进行对比。结果:患者146例161眼行非散瞳下直接检眼镜检查、非散瞳下Optomap 200Tx检查、散瞳后前置镜检查分别发现眼底病变40眼(24.8%),59眼(36.7%),61眼(37.9%),需要及时治疗病例9眼(5.6%)。非散瞳下Optomap200Tx检查结果与散瞳后前置镜检查结果相似,差异无统计学意义,优于非散瞳下直接检眼镜检查,差异有统计学意义(P<0.05)。结论:白内障患者术前屈光间质混浊,无法详查眼底,故应常规对白内障术后患者行全面眼底筛查。Optomap 200Tx是白内障术后早期眼底筛查的一项有效、便捷的检查手段,与散瞳后裂隙灯下前置镜检查有相似检出率。AIM： To investigate the utility of optomap panoramic200 Tx in screening fundus disease among the patients after cataract surgery.METHODS： From November 18 thto December 31 st,2013all 146 post-cataract surgery patients were recruited. All non- mydriatic fundus images were taken with the optomap panoramic 200 Tx and were diagnosed by one masked retinal specialist. Non- mydriatic direct ophthalmoscope exam and mydriatic slit-lamp lens exam were also done by other two masked specialists.Comparisons of the three methods were made.RESULTS： Among 146 patients（ 161 eyes）,40 eyes（ 24.8%） of retinal lesions was detected by non-mydriatic direct ophthalmoscope exam, 59（ 36. 7%） by non-mydriatic optomap 200 Tx exam,and 61（ 37.9%） by slit-lamp lens exam. Nine eyes（ 5. 6%） needed medical intervention immediately. Results of optomap 200 Tx exams and slit- lamp lens exams were similar without statistically significant difference（ P〈0. 05）,better than direct ophthalmoscope exam（ P〈0. 05） with statistically significant difference.CONCLUSION： Opacification of the refractive medium makes thorough fundus examination impossible. So post-operative fundus examination is highly necessary and should be a routine. Optomap panoramic 200 Tx,which shows no statistically difference from mydriatc slit-lamplens exam, is a convenient and feasible method in discovering fundus pathological changes.

关 键 词：欧堡全景200Tx激光扫描检眼镜 非散瞳 白内障术后 眼底检查 视网膜病变 

分 类 号：R779.66[医药卫生—眼科]