方法：对2013-11-18/12-31来我院就诊的白内障患者146例161眼，均为连续病例，于术后1wk行非散瞳下直接检眼镜检查、非散瞳下Optomap 200Tx检查、散瞳后裂隙灯下前置镜检查，并对三种检查方法进行对比。

结果：患者146例161眼行非散瞳下直接检眼镜检查、非散瞳下Optomap 200Tx检查、散瞳后前置镜检查分别发现眼底病变40眼(24.8%)，59眼(36.7%)，61眼(37.9%)，需要及时治疗病例9眼(5.6%)。非散瞳下Optomap 200Tx检查结果与散瞳后前置镜检查结果相似，差异无统计学意义，优于非散瞳下直接检眼镜检查，差异有统计学意义(P<0.05)。

结论：白内障患者术前屈光间质混浊，无法详查眼底，故应常规对白内障术后患者行全面眼底筛查。Optomap 200Tx是白内障术后早期眼底筛查的一项有效、便捷的检查手段，与散瞳后裂隙灯下前置镜检查有相似检出率。

METHODS: From November 18^th to December 31^st, 2013 all 146 post-cataract surgery patients were recruited. All non-mydriatic fundus images were taken with the optomap panoramic 200Tx and were diagnosed by one masked retinal specialist. Non-mydriatic direct ophthalmoscope exam and mydriatic slit-lamp lens exam were also done by other two masked specialists. Comparisons of the three methods were made.

RESULTS: Among 146 patients(161 eyes), 40 eyes(24.8%)of retinal lesions was detected by non-mydriatic direct ophthalmoscope exam, 59(36.7%)by non-mydriatic optomap 200Tx exam, and 61(37.9%)by slit-lamp lens exam. Nine eyes(5.6%)needed medical intervention immediately. Results of optomap 200Tx exams and slit-lamp lens exams were similar without statistically significant difference(P>0.05), better than direct ophthalmoscope exam(P<0.05)with statistically significant difference.

CONCLUSION:Opacification of the refractive medium makes thorough fundus examination impossible. So post-operative fundus examination is highly necessary and should be a routine. Optomap panoramic 200Tx, which shows no statistically difference from mydriatc slit-lamp lens exam, is a convenient and feasible method in discovering fundus pathological changes.