Quality and diagnostic utility of mydriatic smartphone photography: The smartphone ophthalmoscopy reliability trial

Murtaza K. Adam, Christopher J. Brady, Alexis M. Flowers, Alexander T. Juhn, Jason Hsu, Sunir J. Garg, Ann P. Murchison, Marc J. Spirn

Research output: Contribution to journalArticle


BACKGROUND AND OBJECTIVE: Establish quality and diagnostic utility of mydriatic smartphone ophthalmoscopy (SO) fundus images compared to fundus camera (FC) images. PATIENTS AND METHODS: In this prospective, cross-sectional study, 94 consecutive patients in an urban eye emergency department underwent SO and FC fundus imaging via one of three study arms: medical student 1 (MS1), medical student 2 (MS2), and ophthalmology resident (OR). Images of 188 eyes were graded for overall quality by two masked reviewers, and observed critical fundus findings were compared to dilated fundus examination documentation. RESULTS: SO images were higher quality in the OR arm than in the MS1 and MS2 arms (P <.017). There were no differences in FC image quality between photographers (all P > .328). In the OR arm, SO images detected 74.3% of critical fundus findings, whereas FC images detected 77.1%. CONCLUSION: SO produces fundus images approaching the quality and diagnostic utility of traditional FC photographs.

Original languageEnglish (US)
Pages (from-to)631-637
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging Retina
Issue number6
Publication statusPublished - Jun 1 2015
Externally publishedYes


ASJC Scopus subject areas

  • Ophthalmology
  • Surgery
  • Medicine(all)

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