Journal article
UTILITY OF ULTRA-WIDEFIELD RETINAL IMAGING FOR THE STAGING AND MANAGEMENT OF SICKLE CELL RETINOPATHY
Retina (Philadelphia, Pa.), Vol.39(5), pp.836-843
05/2019
DOI: 10.1097/IAE.0000000000002057
PMID: 29384996
Abstract
To determine whether ultra-widefield (UWF) retinal imaging changes the staging or management of sickle cell retinopathy compared with clinical examination. Prospective, observational study including patients with sickle cell disease. All patients underwent dilated fundus examination by a fellowship-trained retina specialist, as well as UWF fundus photography (FF) and fluorescein angiography (FA). Sickle retinopathy stage and treatment recommendation per eye were determined after clinical examination, UWF-FF, and UWF-FA, respectively, and differences in retinopathy stage and treatment recommendation were compared. A total of 70 eyes from 35 patients (17 women, 48.6%), mean age 30.4 years, were included. Sickle genotypes included 26 patients with sickle SS (74.3%), 7 SC (20.0%), and 2 β(+)thalassemia (5.7%). Based on examination, most eyes (42/70; 60.0%) had no visible retinopathy. Based on UWF-FF, about half of the eyes were found to be Goldberg Stage 2 or above (36/70; 51.4%). Based on UWF-FA, nearly all eyes were Goldberg Stage 2 or above (63/70; 90%). However, clinical examination reliably detected neovascularization, and in no case did the addition of UWF imaging change management relative to examination alone. Ultra-widefield imaging detects a higher stage of sickle cell retinopathy compared with clinical examination alone, but these differences may not be clinically significant.
Details
- Title: Subtitle
- UTILITY OF ULTRA-WIDEFIELD RETINAL IMAGING FOR THE STAGING AND MANAGEMENT OF SICKLE CELL RETINOPATHY
- Creators
- Ian C Han - Department of Ophthalmology and Visual Sciences, Carver College of Medicine, University of Iowa, Iowa City, IowaAlice Y Zhang - Retina Division, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MarylandTin Y A Liu - Retina Division, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MarylandMarguerite O Linz - Retina Division, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MarylandAdrienne W Scott - Retina Division, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, Maryland
- Resource Type
- Journal article
- Publication Details
- Retina (Philadelphia, Pa.), Vol.39(5), pp.836-843
- Publisher
- United States
- DOI
- 10.1097/IAE.0000000000002057
- PMID
- 29384996
- ISSN
- 0275-004X
- eISSN
- 1539-2864
- Language
- English
- Date published
- 05/2019
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9983979954302771
Metrics
31 Record Views