免散瞳广角激光扫描眼底镜与常规眼底检查方法在无症状高度近视患者眼底检查中的比较

Comparison of Fundus Examination Results between Dilated Free Wide Angle Laser Scanning Ophthalmoscope and Routine Ophthalmic Examinations in Asymptomatic Patients with High Myopia

摘要: 目的：对广角激光扫描检眼镜(欧堡Daytona (p200T))眼底检查和常规眼底检查方法在无症状高度近视患者检查中的比较和分析。方法：对我院就诊的119名(238只眼)无症状的高度近视患者，将其未散瞳下直接检眼镜检查诊断结果同未散瞳下广角激光扫描检眼镜成像诊断结果与散瞳后间接检眼镜检查诊断结果相比较。结果：未散瞳下直接检眼镜检查发现有临床意义的患眼30只，未散瞳下广角激光扫描检眼镜发现有临床意义的患眼51只，散瞳后间接检眼镜检查发现有临床意义的患眼61只。结论：广角激光扫描检眼镜在免散瞳情况下能够极大地提高高度近视患者眼底筛查准确性，但是不能完全取代散瞳检查眼底。

Abstract: Objective: Comparison of examination results of asymptomatic patients with high myopia by dilated free wide angle laser scanning ophthalmoscope (Oberg) and routine ophthalmic examinations. Method: For 119 asymptomatic high myopia patients who came to our hospital, the diagnostic results of laser scanning ophthalmoscope were compared with the results of direct ophthalmoscope without mydriasis and indirect ophthalmoscope after mydriasis. Result: 30 eyes with clinical significance were found by direct ophthalmoscope without mydriasis, 51 eyes with clinical significance were found by wide angle laser scanning ophthalmoscope without mydriasis, and 61 eyes with clinical significance were found by direct ophthalmoscope after mydriasis. Conclusion: Wide anglelaser scanning ophthalmoscope can improve the accuracy of fundus examination in patients with high myopia, but it cannot replace mydriasis fundus examination.