June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Usefulness of ultra-wide field retinography using confocal scanning laser ophthalmoscopy (cSLO) in patients with retinal tears and retinal detachments
Author Affiliations & Notes
  • Gonzalo Elías Quezada Peralta
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • Isabel Fabelo Hidalgo
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • Nicolás Pérez-Llombet Quintana
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • Consuelo Fernández-Núñez
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • Oswaldo Esteban Durán Carrasco
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • Marcelino Campos Nazer
    Universidad Catolica del Norte Sede Coquimbo, Coquimbo, Chile
  • Ruymán Rodríguez Gil
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • María Antonia Gil Hernández
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • Rodrigo Abreu
    Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Canarias, Spain
  • Footnotes
    Commercial Relationships   Gonzalo Quezada Peralta None; Isabel Fabelo Hidalgo None; Nicolás Pérez-Llombet Quintana None; Consuelo Fernández-Núñez None; Oswaldo Esteban Durán Carrasco None; Marcelino Campos Nazer None; Ruymán Rodríguez Gil None; María Antonia Gil Hernández None; Rodrigo Abreu Nidek, Code C (Consultant/Contractor)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 1010 – F0257. doi:
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      Gonzalo Elías Quezada Peralta, Isabel Fabelo Hidalgo, Nicolás Pérez-Llombet Quintana, Consuelo Fernández-Núñez, Oswaldo Esteban Durán Carrasco, Marcelino Campos Nazer, Ruymán Rodríguez Gil, María Antonia Gil Hernández, Rodrigo Abreu; Usefulness of ultra-wide field retinography using confocal scanning laser ophthalmoscopy (cSLO) in patients with retinal tears and retinal detachments. Invest. Ophthalmol. Vis. Sci. 2022;63(7):1010 – F0257.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : We present a descriptive study based on a series of cases where we measured the detection capacity and its characteristics using ultra-wide field retinography in patients with retinal tears and retinal detachments.

Methods : Ultra-wide-field retinographies were performed using confocal laser ophthalmoscopy Mirante (Nidek, Gmagori Japan) during the course of 1 month in all patients with a clinical diagnosis of retinal tear or retinal detachment who came to our ophthalmology department in the emergency department. We analyzed the demographic characteristics obtained in the clinical history, location of the tear and if it was visible, it is position 1 of the gaze using the tools of the Mirante platform and the area of detachment of the total retina with the ImageJ application (open source).

Results : A total of 14 patients were recruited; the average age was 65 years with a male / female ratio of 1.8 / 1. 43% (6) correspond to retinal tears and 57% (8) to retinal detachments (RD). In only 1 patient with RD, retinography could not be obtained due to media opacity. Both eyes were equally affected in a 1: 1 ratio. In 17% (1) of the tears it was possible to see them in the primary gaze position while 100% were visible in the secondary and tertiary gaze position, 100% of RDs could be seen in primary gaze position. 50% (3) of the retinal tears presented peri-tear fluid. On average, the tears were found 56° from the fovea, with the upper and lower temporal quadrants being the most affected, both 40% of the time and the upper nasal the remaining 20%. No primary lesions were found in the lower nasal quadrant. The average area of the detached retina with respect to the total retina seen in ultra-wide field retinography, in RD cases, was 68%. All the tears (100%) were treated by laser photocoagulation and 38% of the RDs (3) were treated by pars plana vitrectomy (PPV) plus silicone injection and the remaining 62% (5) by PPV and gas tamponade.

Conclusions : Ultra-wide-field retinography using cSLO is an excellent tool for detecting and characterize retinal tears and retinal detachments in clinical practice.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

 

Retinal tear captured with ultra-wide-field retinography using confocal laser ophthalmoscopy (Mirante).

Retinal tear captured with ultra-wide-field retinography using confocal laser ophthalmoscopy (Mirante).

 

Retinal detachment captured with ultra-wide-field retinography using confocal laser ophthalmoscopy (Mirante).

Retinal detachment captured with ultra-wide-field retinography using confocal laser ophthalmoscopy (Mirante).

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