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KMID : 1151620200050020122
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Journal of Retina
2020 Volume.5 No. 2 p.122 ~ p.127
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Ultra-widefield Fluorescein Angiography Findings in Patients with Multiple Retinal Holes
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Park Jin-Heung
Yang Hyeon-Tak
Baek Ji-Won
Jeon So-Hee
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Abstract
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Purpose: To evaluate ultra-widefield fluorescein angiography (UWFA) findings in patients with multiple retinal holes.
Methods: UWFA findings were compared between 73 eyes with more than two retinal holes and 39 age-matched controls. Factors associated with a high score were evaluated.
Results: Patients with multiple retinal holes showed a significantly higher prevalence of abnormal UWFA findings, such as Angiography Scoring for Uveitis Working Group (ASUWG) retinal vascular staining/leakage and capillary leakage at the posterior pole, and peripheral capillary leakage (p < 0.001 for all). Univariate analysis revealed that spherical equivalent (r = -0.336, p = 0.005) and number of retinal holes (r = 0.267, p = 0.023) were associated with a higher ASUWG score. Multivariate regression analysis revealed that the spherical equivalent was independently associated with a higher ASUWG score (r2 = 0.113, p = 0.005). Vitreous tractions were detected by optical coherence tomography on the edge of retinal holes in these patients.
Conclusions: Eyes with strong focal adhesion between the vitreous cortex and the inner retinal surface could develop dye leakages and multiple retinal holes.
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KEYWORD
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High myopia, Retinal hole, Rhegmatogenous retinal detachment, Ultra-wide-field fluorescein angiography, Vitreoretinal adhesion
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