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Retinal diseases of patients without discomfort associated with retinal abnormalities
Author(s) -
Lee S.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.0f061
Subject(s) - medicine , ophthalmology , macular degeneration , retinal , fundus (uterus) , retinitis pigmentosa , vitreous hemorrhage , laser coagulation , retinal detachment , retina , retinal degeneration , visual acuity , physics , optics
Purpose To identify the retinal diseases in patients who did not complain discomfort of retinal abnormalities. Methods A retrospective chart review of 1516 eyes, 765 patients who visited for cataract operation, glaucoma evaluation, refractive surgery was performed. We evaluated fundus abnormalities by fundus examination using slit lamp and systemic risk factors. Results The mean age of the 765 patients was 63.2 _ 14.6 years (18‐93 years), and 34.2% were men. Four hundred ninety seven eyes (32.8%) were diagnosed as retinal diseases. Peripheral retinal degeneration that does not need treatment in 119 eyes (include atypical retinitis pigmentosa in 2 eyes), peripheral retinal degeneration that does need barrier laser in 65 eyes, epiretinal membrane in 97 eyes, diabetic retinopathy in 57 eyes, vitreous hemorrhage in 4 eyes, retinal hemorrhage in 23 eyes, retinal vascular occlusion diseases in 16 eyes, degeneration at posterior pole (pp) in 36 eyes (include central serous chorioretinopathy in 1 eye), exudation at pp in 103 eyes, age related macular degeneration ( AMD ) in 47 eyes were identified. Treatment performed in 104 patients (13.6%), 146 eyes (9.6%) _ medication in 53 eyes, laser photocoagulation in 71 eyes, intravitreal injection in 7 eyes, vitrectomy in 15 eyes. Peripheral retinal degeneration showed significant positive correlations with higher degree myopia (p < 0.001). AMD , vascular occlusion disease, degeneration at pp, exudation at pp showed significant positive correlations with increased age (p < 0.001, = 0.008, < 0.001, < 0.001). Conclusions The retinal examination, including the peripheral retina, should be carried out in patients without discomfort of retinal abnormalities.