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Clinical Features of Patients Who Visited Eye Clinic with Fundus Photography Abnormality at Health Screening
Ann Optom Contact Lens 2021;20:15-21
Published online March 25, 2021
© 2021 The Korean Optometry & Contact Lens Study Society

Seung Min Lee, MD1, Ji Young Moon, MD1, Roo Min Jun, MD, PhD2, Kyu-Ryong Choi, MD, PhD1, Hyun Jin Kim, MD, PhD1

Department of Ophthalmology, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine1, Seoul, Korea
Department of Ophthalmology, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine2, Seoul, Korea
Correspondence to: Hyun Jin Kim, MD, PhD
Department of Ophthalmology, Ewha Womans University Mokdong Hospital, #1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Korea
Tel: 82-2-2650-5154, Fax: 82-2-2654-4334
*The source of any support received: Only Seung Min Lee.
Received September 23, 2020; Revised January 27, 2021; Accepted January 27, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: To analyze the actual diagnosis and clinical features of patients who visited the eye clinic due to abnormal findings on the fundus photograph taken for screening purposes at the health screening.
Methods: From February 2014 to July 2019, the medical records of patients whose fundus photography were suspect to be abnormal in the mass screening test were analyzed.
Results: The average age of the patients was 53.6 ± 12.0 years (range, 22-81 years), and the average period to visit the eye clinic after screening was 41.3 days. The most frequent findings were identified as glaucoma suspect (n = 235), followed by retinal lesion (n = 212), media opacity (n = 49), and others (n = 48). The most common abnormalities in retinal abnormalities were drusen (n = 49, 20.5%), epiretinal membrane (n = 42, 17.6%), vascular disease (n = 29, 12.1%) and macular degeneration (n = 24, 10%). Of the patients who were suspicious of glaucoma, 42 patients (16.8%) were diagnosed as glaucoma after thorough ophthalmic examination. Among the patients with media opacity, 43 patients (78.2%) were diagnosed with cataract. Of the 544 patients, 450 patients (82.7%) were in condition requiring treatment or periodic ophthalmic examination.
Conclusions: For rapid diagnosis and treatment, taking fundus photography at health screening is highly recommended. We found that detailed ophthalmic examination would be helpful for patients who visited the ophthalmology clinic with fundus abnormalities after health screening.
Keywords : Fundus photography; Glaucoma suspect; Health screening; Media opacity; Retinal lesion

March 2021, 20 (1)