Daytona超广角激光扫描眼底成像系统在白内障患者术前检查中的临床应用  

Clinical application of Daytona ultra-widefield retinal imaging device in preoperative examination of cataract patients

作　　者：杨颖秋 李永蓉 戴维 YANG Ying-qiu;LI Yong-rong;DAI Wei(Department of Ophthalmology,the Second People's Hospital of Hefei,Hefei 230011,China)

机构地区：[1]合肥市第二人民医院眼科,合肥230011

出　　处：《医疗卫生装备》2021年第12期60-63,共4页Chinese Medical Equipment Journal

摘　　要：目的:对比Daytona超广角激光扫描眼底成像系统(以下简称“Daytona超广角系统”)与常用眼底检查方法在白内障患者术前眼底病变检查中的应用价值。方法:选取2020年9月至2021年2月在某院行白内障手术的患者88例(共90只患眼),术前分别用Daytona超广角系统、传统眼底照相、散瞳前置镜检查3种方法进行眼底检查,术后1周复查时再次行散瞳前置镜检查,统计并比较不同方法间检出眼底病变的检出率、检查时间等。数据采用SPSS 24.0软件进行统计学分析。结果:Daytona超广角系统的眼底病变检出率为34.44%,传统眼底照相的眼底病变检出率为17.78%,散瞳前置镜检查的眼底病变检出率为27.78%,三者之间的差异具有统计学意义(P<0.05)。其中,Daytona超广角系统与传统眼底照相的检出率的差异有统计学意义(P<0.05),但Daytona超广角系统和散瞳前置镜检查的检出率、传统眼底照相和散瞳前置镜检查的检出率,差异均无统计学意义(P均>0.05)。所有患者术后散瞳前置镜检查的眼底病变检出率为33.33%,与术前散瞳前置镜检查和Daytona超广角系统的检出率均无统计学差异(P均>0.05)。Daytona超广角系统的检查时间为1.7~5.0 min[平均(3.23±0.72)min],传统眼底照相的检查时间为4~10 min[平均(5.39±1.02)min],散瞳前置镜的检查时间为2~6 min[平均(3.61±0.87)min]。3种检查方法所用时间的差异具有统计学意义(P<0.01)。结论:Daytona超广角系统具有易操作、成像快、免散瞳、检查范围广及成像清晰的优势,对白内障患者眼底病变具有较高的检出率,具有一定的临床应用价值。Objective To compare the values of Daytona ultra-widefield retinal imaging device and commonly used fundus examination methods in the preoperative examination of cataract patients.Methods A total of 88 patients(90 eyes)who underwent cataract surgery at some hospital from September 2020 to February 2021 were selected for preoperative fundus examination by three methods:Daytona ultra-widefield retinal imaging device,traditional fundus photography and mydriatic fundus examination with the superfield lens,and mydriatic fundus examinations with the superfield lens was performed again at the 1-week postoperative follow-up.The detection rate and the examination time were counted and compared between the three methods.SPSS 24.0 software was used for statistical analysis.Results The detection rate of fundus lesions was 34.44%by Daytona imaging device,17.78%by traditional fundus photography and 27.78%by mydriatic fundus examination with the superfield lens,with statistically significant differences between the three methods(P<0.05).The difference between Daytona imaging device and traditional fundus photography was statistically significant(P<0.05),while those between mydriatic fundus examination and each of the remained two ones were not(all P>0.05).The detection rate of fundus lesions by postoperative mydriatic fundus examination with the superfield lens was 33.33%in all the patients,which was not statistically different from those by preoperative mydriatic fundus examination and Daytona imaging device(all P>0.05).The examination time by Daytona imaging device ranged from 1.7 to 5.0 min(average(3.23±0.72)min),by traditional fundus photography from 4 to 10 min(average(5.39±1.02)min)and by mydriatic fundus examination with the superfield lens from 2 to 6 min(average(3.61±0.87)min).The differences between the examination time by the three methods were statistically significant(P<0.01).Conclusion Daytona imaging device gains advantages in easy operation,fast and clear imaging,no need for mydriasis,wide range of examinatio

关 键 词：Daytona超广角激光扫描眼底成像系统 传统眼底照相 散瞳前置镜检查 眼底检查 眼底病变 白内障 

分 类 号：R318[医药卫生—生物医学工程] R770.4[医药卫生—基础医学]