Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.

We evaluated the clinical utility of ultra-widefield imaging as an adjunctive tool for training resident ophthalmologists in the detection of retinal breaks. This was a prospective study conducted at a secondary health care center (Tri-Service General Hospital) in Taiwan. Participants were 44 patien...

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Autores principales:	I-Hung Lin, Chien-Cheng Chien, Yi-Hao Chen, Shu-I Pao, Jiann-Torng Chen, Ching-Long Chen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e22a160f5d0748289dbb95c9627b215b
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spelling	oai:doaj.org-article:e22a160f5d0748289dbb95c9627b215b2021-12-02T20:10:14ZUltra-widefield retinal imaging for adjunctive resident training in retinal break detection.1932-620310.1371/journal.pone.0253227https://doaj.org/article/e22a160f5d0748289dbb95c9627b215b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253227https://doaj.org/toc/1932-6203We evaluated the clinical utility of ultra-widefield imaging as an adjunctive tool for training resident ophthalmologists in the detection of retinal breaks. This was a prospective study conducted at a secondary health care center (Tri-Service General Hospital) in Taiwan. Participants were 44 patients (53 eyes) who were referred to our hospital after being diagnosed with retinal breaks. Patients first underwent an indirect ophthalmoscopy examination of the total fundus without scleral depression by our junior (first and second year) or senior (third and fourth year) resident ophthalmologist and then underwent an ultra-widefield imaging examination with a central image and four gaze-steered (up, down, nasal, and temporal) images to determine the number of retinal breaks in the total fundus and the four quadrants. Of the total 53 eyes, 31 were examined by junior residents and 22 were examined by senior residents. In the group of junior residents, ultra-widefield imaging was significantly better at detecting retinal breaks of the total fundus (49 vs. 33 retinal breaks, p < 0.001) and the temporal quadrant (17 vs. 10 retinal breaks, p = 0.018) than indirect ophthalmoscopy. In the group of senior residents, there was no significant difference in the ability to detect retinal breaks in the total fundus or each of the four quadrants with ultra-widefield imaging or indirect ophthalmoscopy. Our results indicate that, compared to indirect ophthalmoscopy, ultra-widefield imaging with a central image and four gaze-steered images has a better performance and is a useful adjunct tool for the detection of retinal breaks in junior resident training. Additionally, it could be a useful method for teaching indirect ophthalmoscopy examination to junior residents.I-Hung LinChien-Cheng ChienYi-Hao ChenShu-I PaoJiann-Torng ChenChing-Long ChenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253227 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q I-Hung Lin Chien-Cheng Chien Yi-Hao Chen Shu-I Pao Jiann-Torng Chen Ching-Long Chen Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.
description	We evaluated the clinical utility of ultra-widefield imaging as an adjunctive tool for training resident ophthalmologists in the detection of retinal breaks. This was a prospective study conducted at a secondary health care center (Tri-Service General Hospital) in Taiwan. Participants were 44 patients (53 eyes) who were referred to our hospital after being diagnosed with retinal breaks. Patients first underwent an indirect ophthalmoscopy examination of the total fundus without scleral depression by our junior (first and second year) or senior (third and fourth year) resident ophthalmologist and then underwent an ultra-widefield imaging examination with a central image and four gaze-steered (up, down, nasal, and temporal) images to determine the number of retinal breaks in the total fundus and the four quadrants. Of the total 53 eyes, 31 were examined by junior residents and 22 were examined by senior residents. In the group of junior residents, ultra-widefield imaging was significantly better at detecting retinal breaks of the total fundus (49 vs. 33 retinal breaks, p < 0.001) and the temporal quadrant (17 vs. 10 retinal breaks, p = 0.018) than indirect ophthalmoscopy. In the group of senior residents, there was no significant difference in the ability to detect retinal breaks in the total fundus or each of the four quadrants with ultra-widefield imaging or indirect ophthalmoscopy. Our results indicate that, compared to indirect ophthalmoscopy, ultra-widefield imaging with a central image and four gaze-steered images has a better performance and is a useful adjunct tool for the detection of retinal breaks in junior resident training. Additionally, it could be a useful method for teaching indirect ophthalmoscopy examination to junior residents.
format	article
author	I-Hung Lin Chien-Cheng Chien Yi-Hao Chen Shu-I Pao Jiann-Torng Chen Ching-Long Chen
author_facet	I-Hung Lin Chien-Cheng Chien Yi-Hao Chen Shu-I Pao Jiann-Torng Chen Ching-Long Chen
author_sort	I-Hung Lin
title	Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.
title_short	Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.
title_full	Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.
title_fullStr	Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.
title_full_unstemmed	Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.
title_sort	ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e22a160f5d0748289dbb95c9627b215b
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Ultra-widefield retinal imaging for adjunctive resident training in retinal break detection.

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