Traditional Culture Encyclopedia - Photography major - No reason could be found for her floaters for 5 months. "Ultra-wide-angle fundus photography" found breast cancer metastasis
No reason could be found for her floaters for 5 months. "Ultra-wide-angle fundus photography" found breast cancer metastasis
When we find small black dots or translucent objects flying in front of our eyes, we must think about whether we have "floaters". Most floaters will not get worse. Once you see an ophthalmologist and no problem is found, you will probably stop paying attention. But in fact, some floaters are a precursor to retinal detachment, vitreous hemorrhage, or even tumors. Failure to pay attention may lead to blindness. Blurred vision turns out to be from tumors
Chen Qinglong, an attending physician at the Department of Ophthalmology of the Tri-Service General Hospital, said that he once received a 48-year-old patient who had symptoms of floaters in his left eye and had blurred vision for 5 months. However, traditional fundus photography examinations have never been able to detect lesions. However, because this patient has late-stage breast cancer, for the sake of caution, it was recommended that she use "ultra-wide-angle fundus photography examination" to see a wider range.
After the examination, it was indeed found that there were breast cancer metastasis lesions in the choroid of the eye. Chen Qinglong said that breast cancer tumors are easier to metastasize to the choroid of the eye, damaging the retina and causing floaters, and at the same time causing blurred vision, but it is not It is common for patients to know that they have breast cancer, but they may not be able to immediately think of it. If fundus photography cannot detect it, they may never understand the cause and eventually lead to blindness. However, the patient is currently treated with anti-neovascular drugs and his visual acuity has recovered from 0.16 to 1.0. Advantages of ultra-wide-angle fundus photography
Chen Qinglong said that the range of ultra-wide-angle fundus photography can also see the "peripheral retina on the nasal side" that cannot be seen with traditional fundus photography, with an amplitude reaching 97% of the panretina. %, increasing the diagnostic rate of nasal peripheral retinal holes by 5.6%, and can detect previously undetected lesions.
"Traditionally, fundus photography requires the administration of mydriatic agent, so the whole process takes at least 40 minutes, which can easily cause patients to become impatient and wait for a long time, and the strong light during the examination It will also make the patient uncomfortable and tearful. Even after the examination, the mydriatic agent will cause blurred vision and sensitivity to light, so they will not be able to drive home or work," said Chen Qinglong. However, ultra-wide-angle fundus photography does not require dilation and only takes 10 minutes. Within a few minutes, these side effects will no longer occur. For patients with refractive stromal turbidity, clearer retinal images can be obtained than traditional indirect ophthalmoscopy.
Chen Qinglong said that retinal diseases are common diseases among Taiwanese people, such as retinopathy caused by three highs, such as diabetic retinopathy, hypertensive retinopathy, or age-related macular degeneration caused by degeneration. High myopia, macular degeneration, retinal detachment, floaters, etc., but sometimes the vision is blurred but the focus cannot be found. It is recommended that you spend 1,000 yuan at your own expense to do ultra-wide-angle fundus photography to find out the cause. Don’t wait until you become blind, which is very difficult. It's hard to save.
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