Non-mydriatic single-field fundus photography for the screening of retinal diseases in an executive health clinic.
| Autor: | Tarabishy AB; Cole Eye Institute, Cleveland Clinic, Cleveland, OH 44195, USA., Campbell JP, Misra-Hebert A, Seballos RJ, Lang RS, Singh RP |
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| Jazyk: | angličtina |
| Zdroj: | Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye [Ophthalmic Surg Lasers Imaging] 2011 Mar-Apr; Vol. 42 (2), pp. 102-6. |
| DOI: | 10.3928/15428877-20110316-01 |
| Abstrakt: | Background and Objective: To determine the accuracy and sensitivity of a single-field non-mydriatic digital fundus image interpreted by an ophthalmologist and performed within a primary care setting. Patients and Methods: Fundus photography using a digital non-mydriatic camera was performed on both eyes of 1,175 consecutive patients as part of an executive health program. All fundus images included a 45° field of the posterior pole capturing the optic nerve and macular area. Diagnostic findings were recorded and appropriate recommendations for follow-up were made. Patients were then contacted to see whether appropriate follow-up was successfully completed and chart reviews were performed to determine biomicroscopic findings. Results: Photographs were adequate in both eyes in 1,117 patients (95.1%). Examination findings were normal in both eyes in 951 (85.1%) patients. Abnormal findings were noted in either eye in 166 (14.9%) patients. The most common abnormal findings were macular degeneration (57/166, 34.3%), optic nerve cupping (45/166, 27.1%), hypertensive retinopathy (15/166, 9.0%), and choroidal nevi (10/166, 6.0%). In all patients with abnormal findings, routine follow-up ophthalmologic examination with an eye care specialist was indicated and none of the patients required urgent attention. Sensitivity was found to be 87% and stratification was performed based on the initial diagnosis. False-positive results were from confounding diagnoses rather than true false-positives. Conclusion: Single-field non-mydriatic fundus photography is accurate and sensitive for screening retinal disease in a primary care setting. (Copyright 2011, SLACK Incorporated.) |
| Databáze: | MEDLINE |
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