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Comparison of a digital retinal imaging system and seven-field stereo color fundus photography to detect diabetic retinopathy in the primary care environment.
Ophthalmic Surg Lasers Imaging. 2005 Jan-Feb; 36(1):46-56.OS

Abstract

BACKGROUND AND OBJECTIVE

Because patients with diabetes mellitus may visit their primary care physician regularly but not their ophthalmologist, a retinal risk assessment in the primary care setting could improve the screening rate for diabetic retinopathy. An imaging system for use in the primary care setting to identify diabetic retinopathy requiring referral to an ophthalmologist was evaluated.

PATIENTS AND METHODS

In a masked prospective study, images were obtained from 11 patients with diabetes mellitus using both the digital retinal imaging system and seven-field stereo color fundus photography. The ability to obtain gradable images and to identify diabetic retinal lesions was compared.

RESULTS

Of all images, 85% of digital retinal imaging system images and 88% of seven-field images were gradable. Agreement based on "no retinopathy" versus "any retinopathy" was excellent (Kappa = 0.96). Agreement based on "microaneurysms or less retinopathy" versus "retinal hemorrhages or worse retinopathy" was very good (Kappa = 0.83).

CONCLUSIONS

The agreement between the digital retinal imaging system and seven-field photography indicates that the digital retinal imaging system may be useful to screen for diabetic retinopathy.

Authors+Show Affiliations

Eye Care Services, Henry Ford Health System, Detroit, Michigan, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15688971

Citation

Schiffman, Rhett M., et al. "Comparison of a Digital Retinal Imaging System and Seven-field Stereo Color Fundus Photography to Detect Diabetic Retinopathy in the Primary Care Environment." Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye, vol. 36, no. 1, 2005, pp. 46-56.
Schiffman RM, Jacobsen G, Nussbaum JJ, et al. Comparison of a digital retinal imaging system and seven-field stereo color fundus photography to detect diabetic retinopathy in the primary care environment. Ophthalmic Surg Lasers Imaging. 2005;36(1):46-56.
Schiffman, R. M., Jacobsen, G., Nussbaum, J. J., Desai, U. R., Carey, J. D., Glasser, D., Zimmer-Galler, I. E., Zeimer, R., & Goldberg, M. F. (2005). Comparison of a digital retinal imaging system and seven-field stereo color fundus photography to detect diabetic retinopathy in the primary care environment. Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye, 36(1), 46-56.
Schiffman RM, et al. Comparison of a Digital Retinal Imaging System and Seven-field Stereo Color Fundus Photography to Detect Diabetic Retinopathy in the Primary Care Environment. Ophthalmic Surg Lasers Imaging. 2005 Jan-Feb;36(1):46-56. PubMed PMID: 15688971.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of a digital retinal imaging system and seven-field stereo color fundus photography to detect diabetic retinopathy in the primary care environment. AU - Schiffman,Rhett M, AU - Jacobsen,Gordon, AU - Nussbaum,Julian J, AU - Desai,Uday R, AU - Carey,J David, AU - Glasser,David, AU - Zimmer-Galler,Ingrid E, AU - Zeimer,Ran, AU - Goldberg,Morton F, PY - 2005/2/4/pubmed PY - 2005/3/23/medline PY - 2005/2/4/entrez SP - 46 EP - 56 JF - Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye JO - Ophthalmic Surg Lasers Imaging VL - 36 IS - 1 N2 - BACKGROUND AND OBJECTIVE: Because patients with diabetes mellitus may visit their primary care physician regularly but not their ophthalmologist, a retinal risk assessment in the primary care setting could improve the screening rate for diabetic retinopathy. An imaging system for use in the primary care setting to identify diabetic retinopathy requiring referral to an ophthalmologist was evaluated. PATIENTS AND METHODS: In a masked prospective study, images were obtained from 11 patients with diabetes mellitus using both the digital retinal imaging system and seven-field stereo color fundus photography. The ability to obtain gradable images and to identify diabetic retinal lesions was compared. RESULTS: Of all images, 85% of digital retinal imaging system images and 88% of seven-field images were gradable. Agreement based on "no retinopathy" versus "any retinopathy" was excellent (Kappa = 0.96). Agreement based on "microaneurysms or less retinopathy" versus "retinal hemorrhages or worse retinopathy" was very good (Kappa = 0.83). CONCLUSIONS: The agreement between the digital retinal imaging system and seven-field photography indicates that the digital retinal imaging system may be useful to screen for diabetic retinopathy. SN - 1542-8877 UR - https://www.unboundmedicine.com/medline/citation/15688971/Comparison_of_a_digital_retinal_imaging_system_and_seven_field_stereo_color_fundus_photography_to_detect_diabetic_retinopathy_in_the_primary_care_environment_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=15688971.ui DB - PRIME DP - Unbound Medicine ER -