Role of advanced technology in the detection of sight-threatening eye disease in a UK community setting
| Autor: | Priya L Dabasia, Tunde Peto, David F Edgar, Bruno R Fidalgo, John G Lawrenson, Irene Ctori, Anish Jindal |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Intraocular pressure
medicine.medical_specialty Multivariate analysis Visual acuity genetic structures Eye disease Glaucoma 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine 030212 general & internal medicine Original Research business.industry screening Diabetic retinopathy Macular degeneration medicine.disease optical coherence tomography FDT perimetry eye diseases Cohort 030221 ophthalmology & optometry diagnostic accuracy RE medicine.symptom business |
| Zdroj: | Fidalgo, B R, Dabasia, P, Jindal, A, Edgar, D F, Ctori, I, Peto, T & Lawrenson, J G 2019, ' The role of advanced technology in the detection of sight-threatening eye disease in a UK community setting ', BMJ open ophthalmology . https://doi.org/10.1136/bmjophth-2019-000347 BMJ Open Ophthalmology |
| ISSN: | 2397-3269 |
| DOI: | 10.1136/bmjophth-2019-000347 |
| Popis: | Background/aimsTo determine the performance of combinations of structural and functional screening tests in detecting sight-threatening eye disease in a cohort of elderly subjects recruited from primary care.Methods505 subjects aged ≥60 years underwent frequency doubling technology (FDT) perimetry, iVue optical coherence tomography (iWellness and peripapillary retinal nerve fibre layer (RNFL) scans) and intraocular pressure with the Ocular Response Analyzer, all performed by an ophthalmic technician. The reference standard was a full ophthalmic examination by an experienced clinician who was masked to the index test results. Subjects were classified as presence or absence of sight-threatening eye disease (clinically significant cataract, primary open-angle glaucoma, intermediate or advanced age-related macular degeneration and significant diabetic retinopathy). Univariate and multivariate logistic regression analyses were used to determine the association between abnormal screening test results and the presence of sight-threatening eye disease.Results171 subjects (33.8%) had one or more sight-threatening eye diseases. The multivariate analysis found significant associations with any of the target conditions for visual acuity of ConclusionsA subset of screening tests may provide an accurate and efficient means of population screening for significant eye disease in the elderly. This study provides useful preliminary data to inform the development of further larger, multicentre screening studies to validate this screening panel. |
| Databáze: | OpenAIRE |
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