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This study investigated the number, type and management consequences of peripheral retinal findings detected in patients attending a referral only, eye\u2010care clinic, the Centre for Eye Health(\n                      <jats:styled-content style=\"fixed-case\">CFEH<\/jats:styled-content>\n                      ) with macular disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Records of 537 patients attending\n                      <jats:styled-content style=\"fixed-case\">CFEH<\/jats:styled-content>\n                      for a macular assessment were included in the study. Subjects were classified as having age\u2010related macular degeneration (\n                      <jats:styled-content style=\"fixed-case\">AMD<\/jats:styled-content>\n                      ), epiretinal membrane (\n                      <jats:styled-content style=\"fixed-case\">ERM<\/jats:styled-content>\n                      ), central serous chorioretinopathy (\n                      <jats:styled-content style=\"fixed-case\">CSCR<\/jats:styled-content>\n                      ), inherited macular dystrophy or no macular disease. Data extracted included reason for referral, macular findings, peripheral findings (based on examination by ultra\u2010widefield scanning laser ophthalmoscopy), diagnosis and management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After age\u2010matching, the number of peripheral findings in subjects with\n                      <jats:styled-content style=\"fixed-case\">AMD<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">ERM<\/jats:styled-content>\n                      or\n                      <jats:styled-content style=\"fixed-case\">CSCR<\/jats:styled-content>\n                      was not significant different to normal subjects. The most common finding for all cohorts were non\u2010specific, degenerative changes such as drusen or pigmentation (61\u201372%) except inherited macular dystrophy subjects who had mostly vascular findings (30%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). Subjects with\n                      <jats:styled-content style=\"fixed-case\">AMD<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">ERM<\/jats:styled-content>\n                      with peripheral findings were significantly more likely to be reviewed or referred to an ophthalmologist than discharged back to their community eye care provider compared to subjects without findings. However only 8% of subjects had altered management based specifically on peripheral findings suggesting the macular findings in most subjects dictated their management. For those with a change, it was significant (upgrade to referral to an ophthalmologist). Peripheral findings also flagged 5% of subjects with vascular findings for referral to their general practitioner (\n                      <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Overall, the percentage and distribution of peripheral retinal findings in some macular diseases was similar to normal subjects. However, subjects with peripheral findings appeared to have significant differences in management. Considering some common findings, such as peripheral drusen may be relevant to\n                      <jats:styled-content style=\"fixed-case\">AMD<\/jats:styled-content>\n                      pathogenesis and therefore affect management of this disease, assessment of the peripheral retina should not be overlooked when the clinical focus is on the posterior pole.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.12589","type":"journal-article","created":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T08:57:33Z","timestamp":1545382653000},"page":"584-595","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Peripheral retinal findings in populations with macular disease are similar to healthy eyes"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6677-1949","authenticated-orcid":false,"given":"Lisa","family":"Nivison\u2010Smith","sequence":"first","affiliation":[{"name":"Centre for Eye Health University of New South Wales Sydney Australia"},{"name":"School of Optometry and Vision Science University of New South Wales Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Milston","sequence":"additional","affiliation":[{"name":"Centre for Eye Health University of New South Wales Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaclyn","family":"Chiang","sequence":"additional","affiliation":[{"name":"Centre for Eye Health University of New South Wales Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelica","family":"Ly","sequence":"additional","affiliation":[{"name":"Centre for Eye Health University of New South Wales Sydney Australia"},{"name":"School of Optometry and Vision Science University of New South Wales Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagi","family":"Assaad","sequence":"additional","affiliation":[{"name":"Centre for Eye Health University of New South Wales Sydney Australia"},{"name":"Department of Ophthalmology Prince of Wales Hospital Randwick Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5264-4639","authenticated-orcid":false,"given":"Michael","family":"Kalloniatis","sequence":"additional","affiliation":[{"name":"Centre for Eye Health University of New South Wales Sydney Australia"},{"name":"School of Optometry and Vision Science University of New South Wales Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,12,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2012.07.003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S79448"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-620X.122292"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.12-9909"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2012.04.014"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2012.12.002"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.03.005"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/02713683.2013.834938"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.01.008"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2014.04.021"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000001574"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000000946"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.12.004"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2012.02434.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.57.12.951"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.08-2514"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2007.06.021"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.09-4482"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2011-300774"},{"key":"e_1_2_8_21_1","unstructured":"Panel\u00a0AAoORV.Preferred Practice Pattern\u00aeGuidelines.Age\u2010Related Macular Degeneration. 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