Comparison of Nondiabetic Retinal Findings Identified With Nonmydriatic Fundus Photography vs Ultrawide Field Imaging in an Ocular Telehealth Program

JAMA Ophthalmology
Paolo S SilvaLloyd Paul Aiello

Abstract

Ultrawide field imaging (UWFI) is increasingly being used in teleophthalmology settings. Given the greater area of the retina imaged, we evaluated the ability of UWFI vs nonmydriatic fundus photography (NMFP) to detect nondiabetic retinal findings in a teleophthalmology program. We conducted a retrospective single-center comparative cohort study from January 1, 2011, to June 30, 2013, imaging 3864 and 3971 consecutive teleophthalmology patients (7728 and 7942 eyes) using NMFP and UWFI, respectively. Standard diabetic retinopathy evaluation and nondiabetic findings were compared between the 2 imaging modalities. In patients without diabetic retinopathy (2243 by NMFP and 2252 by UWFI), the rate of identification of nondiabetic findings by NMFP (451 patients [20.1%]) and UWFI (490 [21.8%]) were comparable (P = .19). Ultrawide field imaging increased the identification of choroidal nevi by 27% (406 eyes [5.3%] by NMFP vs 545 eyes [6.9%] by UWFI; P < .001) and chorioretinal atrophy or scarring by 116% (50 eyes [0.6%] by NMFP vs 101 eyes [1.3%] by UWFI; P < .001). No peripheral retinal findings were identified with NMFP, while UWFI detected 25 retinal tears (0.3%; P < .001), 54 lattice and peripheral degenerations (0.7%; P < .001), a...Continue Reading

Citations

Oct 18, 2016·Seminars in Ophthalmology·Aditi GuptaPaolo S Silva
Oct 22, 2016·Current Diabetes Reports·Brian J SongLouis R Pasquale
Apr 18, 2018·Ophthalmic Surgery, Lasers & Imaging Retina·Linda Alejandra Cernichiaro-EspinosaAudina M Berrocal
Feb 23, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·David GuPaul J Bryar
Jun 3, 2020·Ophthalmic Surgery, Lasers & Imaging Retina·Michael P EllisGlenn Yiu
Oct 19, 2017·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Angelica LyMichael Kalloniatis
Oct 28, 2017·Clinical Diabetes and Endocrinology·Anjali R Shah, Thomas W Gardner
Feb 1, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Stephanie J FondaMark B Horton
Dec 11, 2020·Journal of Diabetes Research·Alessia AmatoFrancesco Bandello
Sep 9, 2021·Current Diabetes Reports·Yangjiani LiNazlee Zebardast
May 28, 2019·Ophthalmic Research·Peter H Scanlon

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