Applying wide-angle fundus imaging modalities to improve the diagnosis and treatment of ocular fundus diseases_Chinese Journal of Ocular Fundus Diseases

Authors：

 MaJingxue , AnJianbin

Department of Ophthalmology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China;

Corresponding author：

MaJingxue, Email: 15803210925@163.com

Keywords：

Diagnostic techniques and procedures/trends; Diagnostic techniques, ophthalmological/trends; Editorial

DOI：

10.3760/cma.j.issn.1005-1015.2016.03.002

Video：

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The hallmark of the recent latest advances in diagnostic fundus imaging technology is combination of complex hierarchical levels and depths, as well as wide-angle imaging, ultra-wide imaging. The clinical application of wide-angle and ultra-wide imaging, not only can reevaluate the role of the peripheral retina, the classification types and treatment modalities of central retinal vein occlusion, and enhance the reliability of diabetic retinopathy screening, improve the classification and therapeutic decision of diabetic retinopathy, and but also can help guide and improve laser photocoagulation. However we must clearly recognize that the dominant role of ophthalmologists in the diagnosis of ocular fundus diseases cannot be replaced by any advanced fundus imaging technology including wide-angle imaging. We emphasize to use the three factors of cognitive performance (technology, knowledge and thinking) to improve the diagnosis of ocular fundus diseases in China.

Citation： MaJingxue, AnJianbin. Applying wide-angle fundus imaging modalities to improve the diagnosis and treatment of ocular fundus diseases. Chinese Journal of Ocular Fundus Diseases, 2016, 32(3): 232-236. doi: 10.3760/cma.j.issn.1005-1015.2016.03.002 Copy

1.	宫媛媛, 孙晓东. 认识眼底光学影像检查诊断技术发展趋势,推动光学影像检查诊断技术临床应用水平提高[J]. 中华眼底病杂志,2015,31(5):417-420. DOI:10.3760/cma.j.issn.1005-1015.2015.05.002.Gong YY, Sun XD. Development trend and clinical applications of ocular fundus optical imaging diagnostic technology[J]. Chin J Ocul Fundus Dis, 2015, 31(5):417-420. DOI:10.3760/cma.j.issn.1005-1015.2015.05.002.
2.	Nagiel A, Lalane RA,Sadda SR, et al. Ultra-widefield fundus imaging:a review of clinical applications and future trends[J]. Retina, 2016, 36(4):660-678. DOI:10.1097/IAE.0000000000000937.
3.	Witmer MT, Kiss SK. Wide-field imaging of the retina[J]. Surv of Ophthalmol, 2013, 58(2):143-154. DOI:10.1016/j.survophthal.2012.07.003.
4.	Kimble JA, Brandt BM, McGwin G Jr. Clinical examination accurately locates capillary nonperfusion in diabetic retinopathy[J].Am J Ophthalmol, 2005, 139(3):555-557.
5.	Terasaki H, Miyake Y, Awaya S. Fluorescein angiography of peripheral retina and pars plana during vitrectomy for proliferative diabetic retinopathy[J]. Am J Ophthalmol, 1997, 123(3):370-376.
6.	Seidensticker F, Neubauer AS, Wasfy T, et al. Wide-field fundus autofluorescence corresponds to visual fields in chorioretinitis patients[J]. Clin Ophthalmol, 2011, 5:1667-1671. DOI:10.2147/OPTH.S26224.
7.	Tan CS, Heussen F, Sadda SR. Peripheral autofluorescence and clinical findings in neovascular and non-neovascular agerelated macular degeneration[J]. Ophthalmology,2013,120(6):1271-1277. DOI:10.1016/j.ophtha.2012.12.002.
8.	Reznicek L, Seidensticker F, Stumpf C, et al. Systematic analysis of wide-field fundus autofluorescence (FAF) imaging in posterior uveitis[J]. Curr Eye Re, 2014,39(2):164-171. DOI:10.3109/02713683.2013.834938.
9.	Oishi M, Oishi A, Ogino K, et al. Wide-field fundus autofluorescence abnormalities and visual function in patients with cone and cone-rod dystrophies[J]. Invest Ophthalmol Vis Sci, 2014, 55(6):3572-3577. DOI:10.1167/iovs.14-13912.
10.	Pang CE, Shah VP, Sarraf D, et al. Ultra-widefield imaging with autofluorescence and indocyanine green angiography in central serous chorioretinopathy[J]. Am J Ophthalmol, 2014,158(2):362-371. DOI:10.1016/j.ajo.2014.04.021.
11.	Central Vein Occlusion Study Group N Report. A randomized clinical trial of early panretinal photocoagulation for ischemic central retinal vein occlusion[J]. Ophthalmology, 1995, 102(10):1434-1444.
12.	Spaide RF. Peripheral areas of nonperfusion in treated central retinal vein occlusion as imaged by wide-field fluorescein angiography[J]. Retina, 2011, 31(5):829-837. DOI:10.1097/IAE.0b013e31820c841e.
13.	Pan CK, Franco-Cardenas V, Heilweil G, et al. Ultra wide-field angiography characteristics of central retinal vein occlusion[J].Invest Ophthalmol Vis Sci, 2012, 53(14):2676.
14.	Tsui I, Kaines A, Havunjian MA, et al. Ischemic index and neovascularization in central retinal vein occlusion[J]. Retina, 2011, 31(1):105-110. DOI:10.1097/IAE.0b013e3181e36c6d.
15.	Wessel MM, Aaker GD, Parlitsis G, et al. Ultra-wide-field angiography improves the detection and classification of diabetic retinopathy[J]. Retina, 2012,32(4):785-791. DOI:10.1097/IAE.0b013e3182278b64.
16.	Soliman AZ,Silva PS, Aiello LA, et al. Ultra-wide field retinal imaging in detection,classification,and management of diabetic retionopathy[J].Semin Ophthalmol,2012,27(5-6):221-227.DOI:10.3109/08820538.2012.708812.
17.	Oliver SC, Schwartz SD. Peripheral vessel leakage (PVL):a new angiographic finding in diabetic retinopathy identified with ultra wide-field fluorescein angiography[J]. Semin Ophthalmol, 2010, 25(1-2):27-33. DOI:10.3109/08820538.2010.481239.
18.	Wessel MM, Nair N, Aaker GD, et al. Peripheral retinal ischaemia, as evaluated by ultra-widefield fluorescein angiography, is associated with diabetic macular oedema[J]. Br J Ophthalmol, 2012, 96(5):694-698. DOI:10.1136/bjophthalmol-2011-300774.
19.	Patel RD, Messner LV, Teitelbaum B, et al. Characterization of ischemic index using ultra-widefield fluorescein angiography in patients with focal and diffuse recalcitrant diabetic macular edema[J]. Am J Ophthalmol, 2013,155(6):1038-1044. DOI:10.1016/j.ajo.2013.01.007.
20.	Silva PS, Dela Cruz AJ, Ledesma MG, et al.Diabetic retinopathy severity and peripheral lesions are associated with nonperfusion on ultrawide field angiography[J]. Ophthalmology, 2015,122(12):2465-2472. DOI:10.1016/j.ophtha.2015.07.034.
21.	Muqit MM, Marcellino GR, Henson DB, et al. Optos-guided pattern scan laser (Pascal)-targeted retinal photocoagulation in proliferative diabetic retinopathy[J]. Acta Ophthalmol, 2013, 91(3):251-258. DOI:10.1111/j.1755-3768.2011.02307.x.
22.	Chan CK, Ip MS, Vanveldhuisen PC, et al. SCORE Study report #11:incidences of neovascular events in eyes with retinal vein occlusion[J]. Ophthalmology, 2011, 118(7):1364-1372. DOI:10.1016/j.ophtha.2010.11.020.

1. 宫媛媛, 孙晓东. 认识眼底光学影像检查诊断技术发展趋势,推动光学影像检查诊断技术临床应用水平提高[J]. 中华眼底病杂志,2015,31(5):417-420. DOI:10.3760/cma.j.issn.1005-1015.2015.05.002.Gong YY, Sun XD. Development trend and clinical applications of ocular fundus optical imaging diagnostic technology[J]. Chin J Ocul Fundus Dis, 2015, 31(5):417-420. DOI:10.3760/cma.j.issn.1005-1015.2015.05.002.
2. Nagiel A, Lalane RA,Sadda SR, et al. Ultra-widefield fundus imaging:a review of clinical applications and future trends[J]. Retina, 2016, 36(4):660-678. DOI:10.1097/IAE.0000000000000937.
3. Witmer MT, Kiss SK. Wide-field imaging of the retina[J]. Surv of Ophthalmol, 2013, 58(2):143-154. DOI:10.1016/j.survophthal.2012.07.003.
4. Kimble JA, Brandt BM, McGwin G Jr. Clinical examination accurately locates capillary nonperfusion in diabetic retinopathy[J].Am J Ophthalmol, 2005, 139(3):555-557.
5. Terasaki H, Miyake Y, Awaya S. Fluorescein angiography of peripheral retina and pars plana during vitrectomy for proliferative diabetic retinopathy[J]. Am J Ophthalmol, 1997, 123(3):370-376.
6. Seidensticker F, Neubauer AS, Wasfy T, et al. Wide-field fundus autofluorescence corresponds to visual fields in chorioretinitis patients[J]. Clin Ophthalmol, 2011, 5:1667-1671. DOI:10.2147/OPTH.S26224.
7. Tan CS, Heussen F, Sadda SR. Peripheral autofluorescence and clinical findings in neovascular and non-neovascular agerelated macular degeneration[J]. Ophthalmology,2013,120(6):1271-1277. DOI:10.1016/j.ophtha.2012.12.002.
8. Reznicek L, Seidensticker F, Stumpf C, et al. Systematic analysis of wide-field fundus autofluorescence (FAF) imaging in posterior uveitis[J]. Curr Eye Re, 2014,39(2):164-171. DOI:10.3109/02713683.2013.834938.
9. Oishi M, Oishi A, Ogino K, et al. Wide-field fundus autofluorescence abnormalities and visual function in patients with cone and cone-rod dystrophies[J]. Invest Ophthalmol Vis Sci, 2014, 55(6):3572-3577. DOI:10.1167/iovs.14-13912.
10. Pang CE, Shah VP, Sarraf D, et al. Ultra-widefield imaging with autofluorescence and indocyanine green angiography in central serous chorioretinopathy[J]. Am J Ophthalmol, 2014,158(2):362-371. DOI:10.1016/j.ajo.2014.04.021.
11. Central Vein Occlusion Study Group N Report. A randomized clinical trial of early panretinal photocoagulation for ischemic central retinal vein occlusion[J]. Ophthalmology, 1995, 102(10):1434-1444.
12. Spaide RF. Peripheral areas of nonperfusion in treated central retinal vein occlusion as imaged by wide-field fluorescein angiography[J]. Retina, 2011, 31(5):829-837. DOI:10.1097/IAE.0b013e31820c841e.
13. Pan CK, Franco-Cardenas V, Heilweil G, et al. Ultra wide-field angiography characteristics of central retinal vein occlusion[J].Invest Ophthalmol Vis Sci, 2012, 53(14):2676.
14. Tsui I, Kaines A, Havunjian MA, et al. Ischemic index and neovascularization in central retinal vein occlusion[J]. Retina, 2011, 31(1):105-110. DOI:10.1097/IAE.0b013e3181e36c6d.
15. Wessel MM, Aaker GD, Parlitsis G, et al. Ultra-wide-field angiography improves the detection and classification of diabetic retinopathy[J]. Retina, 2012,32(4):785-791. DOI:10.1097/IAE.0b013e3182278b64.
16. Soliman AZ,Silva PS, Aiello LA, et al. Ultra-wide field retinal imaging in detection,classification,and management of diabetic retionopathy[J].Semin Ophthalmol,2012,27(5-6):221-227.DOI:10.3109/08820538.2012.708812.
17. Oliver SC, Schwartz SD. Peripheral vessel leakage (PVL):a new angiographic finding in diabetic retinopathy identified with ultra wide-field fluorescein angiography[J]. Semin Ophthalmol, 2010, 25(1-2):27-33. DOI:10.3109/08820538.2010.481239.
18. Wessel MM, Nair N, Aaker GD, et al. Peripheral retinal ischaemia, as evaluated by ultra-widefield fluorescein angiography, is associated with diabetic macular oedema[J]. Br J Ophthalmol, 2012, 96(5):694-698. DOI:10.1136/bjophthalmol-2011-300774.
19. Patel RD, Messner LV, Teitelbaum B, et al. Characterization of ischemic index using ultra-widefield fluorescein angiography in patients with focal and diffuse recalcitrant diabetic macular edema[J]. Am J Ophthalmol, 2013,155(6):1038-1044. DOI:10.1016/j.ajo.2013.01.007.
20. Silva PS, Dela Cruz AJ, Ledesma MG, et al.Diabetic retinopathy severity and peripheral lesions are associated with nonperfusion on ultrawide field angiography[J]. Ophthalmology, 2015,122(12):2465-2472. DOI:10.1016/j.ophtha.2015.07.034.
21. Muqit MM, Marcellino GR, Henson DB, et al. Optos-guided pattern scan laser (Pascal)-targeted retinal photocoagulation in proliferative diabetic retinopathy[J]. Acta Ophthalmol, 2013, 91(3):251-258. DOI:10.1111/j.1755-3768.2011.02307.x.
22. Chan CK, Ip MS, Vanveldhuisen PC, et al. SCORE Study report #11:incidences of neovascular events in eyes with retinal vein occlusion[J]. Ophthalmology, 2011, 118(7):1364-1372. DOI:10.1016/j.ophtha.2010.11.020.

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Applying wide-angle fundus imaging modalities to improve the diagnosis and treatment of ocular fundus diseases

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