![]() The control group consisted of the eyes of patients who visited the same institution with central serous chorioretinopathy and branch retinal vein occlusion over the same period. The case group in this retrospective study comprised patients who visited Keye Eye Center for multiple retinal holes from April 2018 to April 2019. In this study, therefore, we evaluated the UWFA findings of patients with multiple retinal holes and compared them with those of normal controls. We speculated that UWFA imaging would help facilitate an understanding of the pathophysiology of multiple retinal holes. The use of ultra-widefield fluorescein angiography (UWFA) has enabled better understanding of the pathological features of various peripheral retinal diseases. We hypothesized that patients with multiple retinal holes might have undiagnosed peripheral retinal pathology that might not easily be detected by conventional methods. Although some forms of viral retinitis, such as acute retinal necrosis and cytomegalovirus retinitis, have reportedly resulted in multiple retinal holes at the junction between a normal and a necrotic retina, there are limited data on the cause of retinal holes in eyes without retinal inflammation. Retinal holes are not usually associated with visible vitreous traction, and retinal hole-associated RRDs may exist without any obvious PVD. However, the association between retinal holes and PVD has not been clearly elucidated. Retinal tears develop when there is a strong attachment of the retina to the vitreous, producing traction on susceptible areas of the retina during separation of the vitreous from the retina, eventually causing RRD when the fluid enters the subretinal space through the tears. Retinal breaks are classified into retinal tears or holes according to morphology and relationship with the vitreous. ![]() Rhegmatogenous retinal detachment (RRD) is a potentially devastating condition that arises from posterior vitreous detachment (PVD) and retinal breaks. Keywords : High myopia Retinal hole Rhegmatogenous retinal detachment Ultra-wide-field fluorescein angiography Vitreoretinal adhesion Vitreous tractions were detected by optical coherence tomography on the edge of retinal holes in these patients.Ĭonclusions: Eyes with strong focal adhesion between the vitreous cortex and the inner retinal surface could develop dye leakages and multiple retinal holes. Multivariate regression analysis revealed that the spherical equivalent was independently associated with a higher ASUWG score ( r 2 = 0.113, p = 0.005). 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. 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). Factors associated with a high score were evaluated. ![]() ![]() Methods: UWFA findings were compared between 73 eyes with more than two retinal holes and 39 age-matched controls. Abstract Purpose: To evaluate ultra-widefield fluorescein angiography (UWFA) findings in patients with multiple retinal holes. ![]()
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