Enhancing nonmydriatic color photographs of the retina with monochromatic views and a stereo pair to detect diabetic retinopathy

Autor: Walid Khairallah, Mona P. Nasrallah, Ibrahim Salti, Sandra Haddad, Haytham I. Salti
Rok vydání: 2009
Předmět:
Zdroj: Ophthalmic surgery, lasersimaging : the official journal of the International Society for Imaging in the Eye. 40(4)
ISSN: 1542-8877
Popis: Background and Objective:Non-mydriatic digital color imaging is rapidly gaining an important role in screening for diabetic retinopathy. However, it has yet to equal a dilated fundus examination or seven Early Treatment Diabetic Retinopathy Study field 35-mm photography. The authors therefore attempted to enhance efficacy and validity by adding two low-cost steps to the nonmydriatic digital image evaluation.Patients and Methods:The fundi of 145 consecutive patients with diabetes mellitus were evaluated for diabetic retinopathy using two different non-mydriatic reading techniques: creating a red-free view (using digital filters) and looking at a stereo pair of each field taken. These methods were each compared to a mydriatic fundus examination.Results:Although the first technique yielded views with sensitivities and specificities similar to what exists in the literature using this same technique, enhancing these photographs (second technique) yielded a statistically significant increase in sensitivity and specificity (P < .005).Conclusion:The authors recommend using both low-cost steps when screening for diabetic retinopathy through nonmydriatic digital color imaging.
Databáze: OpenAIRE