Utility of a smartphone assisted direct ophthalmoscope camera for a general practitioner in screening of diabetic retinopathy at a primary health care center.

Autor: Shah D; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Dewan L; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Singh A; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Jain D; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Damani T; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Pandit R; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Porwal AC; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Bhatnagar S; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Shrishrimal M; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India., Patel A; Department of Ophthalmology, Choithram Netralaya, Indore, Madhya Pradesh, India.
Jazyk: angličtina
Zdroj: Indian journal of ophthalmology [Indian J Ophthalmol] 2021 Nov; Vol. 69 (11), pp. 3144-3148.
DOI: 10.4103/ijo.IJO_1236_21
Abstrakt: Purpose: To assess the use of smartphone-based direct ophthalmoscope photography for screening of diabetic retinopathy (DR) in known diabetic patients walking into a general practitioner's clinic and referring them to a vitreoretinal specialist for further evaluation and management if required.
Methodos: The study included 94 eyes of 47 walk-in patients in a general practitioner's OPD who were known to have type 2 diabetes mellitus and were already on treatment for the same.
Results: The study included 47 patients with diabetes with a mean age of 56.2 ± 9.4 years. The Cohen's kappa values revealed that the diagnosis related to the DR status made using a camera was in substantial agreement with the clinical diagnosis (Kappa value: 0.770). The Cohen's kappa values revealed that the diagnosis related to the DME made using a camera was in moderate agreement with the clinical diagnosis (Kappa value: 0.410). The agreement between the findings of the camera and clinical diagnosis was statistically significant (P < 0.05).
Conclusion: Direct ophthalmoscope-based smartphone imaging can be a useful tool in the OPD of a general practitioner. These images can be assessed for retinopathy, and patients can be referred to a vitreoretinal specialist for further evaluation and management if needed. Hence, the burden of vision loss due to complications of DR in the rural sector can be abridged.
Competing Interests: None
Databáze: MEDLINE
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