Boya Lei1, Min Zhou1,2,3, Zhujian Wang1, Qing Chang1,2,3, Gezhi Xu1,2,3, Rui Jiang4,5,6. 1. Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China. 2. Shanghai Key Laboratory of Visual Impairment and Restoration, Fudan University, Shanghai, China. 3. NHC Key Laboratory of Myopia (Fudan University), Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China. 4. Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China. 2jiang@163.com. 5. Shanghai Key Laboratory of Visual Impairment and Restoration, Fudan University, Shanghai, China. 2jiang@163.com. 6. NHC Key Laboratory of Myopia (Fudan University), Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China. 2jiang@163.com.
Abstract
OBJECTIVES: To investigate the clinical characteristics of acute retinal necrosis (ARN) with ultra-wide-field imaging (UWFI) and analyse their visual significance. METHODS: Clinical and UWFI records of patients diagnosed with ARN at a single centre over 2 years were reviewed. RESULTS: In 38 eyes of 35 patients, the clinical manifestations of ARN on UWFI included patchy (12 eyes) or fan-shaped necrotic lesions (26 eyes), retinal arterial obliteration (38 eyes), vitritis (38 eyes), retinal venous haemorrhage (19 eyes), and vitreous haemorrhage (6 eyes). Retinal detachment was associated with the number of retinal quadrants involved (β = 2.145, P = 0.005). LogMAR BCVA at last follow-up was associated with logMAR BCVA at presentation (β = 0.473, P = 0.004) and retinal detachment (β = 0.367, P = 0.020). CONCLUSION: UWFI is useful for detecting retinal lesions in ARN, especially peripheral lesions or through opaque media, and provides valuable information concerning visual prognosis.
OBJECTIVES: To investigate the clinical characteristics of acute retinal necrosis (ARN) with ultra-wide-field imaging (UWFI) and analyse their visual significance. METHODS: Clinical and UWFI records of patients diagnosed with ARN at a single centre over 2 years were reviewed. RESULTS: In 38 eyes of 35 patients, the clinical manifestations of ARN on UWFI included patchy (12 eyes) or fan-shaped necrotic lesions (26 eyes), retinal arterial obliteration (38 eyes), vitritis (38 eyes), retinal venous haemorrhage (19 eyes), and vitreous haemorrhage (6 eyes). Retinal detachment was associated with the number of retinal quadrants involved (β = 2.145, P = 0.005). LogMAR BCVA at last follow-up was associated with logMAR BCVA at presentation (β = 0.473, P = 0.004) and retinal detachment (β = 0.367, P = 0.020). CONCLUSION: UWFI is useful for detecting retinal lesions in ARN, especially peripheral lesions or through opaque media, and provides valuable information concerning visual prognosis.
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