Abstract
Objective: The goal was to evaluate a digital imaging system for diagnosing and grading diabetic retinopathy (DR) and cystoid macular edema (CME). Methods: A single 45°, nonmydriatic, digital color photograph was taken of 231 eyes of 120 patients with diabetes mellitus. The images were graded for DR and CME by a remote ophthalmologist, and the results were compared with dilated ophthalmoscopy performed by a retina spe-cialist. Results: For DR, the level of agreement between digital image review and ophthalmoscopy was moderate (κ = 0.44). The sensitivity and specificity of digital image review were 0.60 and 1.00, respectively. For CME, the level of agreement was moderate (κ = 0.60). The sensitivity and specificity of digital image review were 0.60 and 0.99, respectively. Conclusion: A single 45°, nonmydriatic, digital image is not reliable as the sole modality for DR screening. However, with modifications, it may be useful where access to an experienced ophthalmologist is limited.
Original language | English (US) |
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Pages (from-to) | 405-410 |
Number of pages | 6 |
Journal | Military medicine |
Volume | 172 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2007 |
Externally published | Yes |
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health