Feasibility of a Nonmydriatic Ocular Fundus Camera in an Outpatient Neurology Clinic

The Neurologist
Neha K IraniValérie Biousse

Abstract

To determine the feasibility of nonmydriatic fundus photography in the neurology outpatient setting and to record frequency of clinically relevant fundus findings. Over 5 weeks, fundus photographs were obtained using a nonmydriatic fundus camera in both eyes of adult patients attending our general neurology and headache clinics. A neurologist, who had received 15 minutes of training on the use of the camera, took the photographs. Quality of photographs was graded. Photographs were reviewed by 2 neuro-ophthalmologists. Treating neurologists completed a survey on the use of this technology in the neurology clinic. Feasibility parameters including ease, comfort, speed, quality, and clinical relevance of nonmydriatic fundus photography was assessed. We obtained 505 fundus photographs of 206 patients. Median time to completion of photographs per patient was 2.12 minutes. Mean rating for ease, comfort, and speed was 9.7 out of 10. Among these, 160 had normal and 44 had abnormal findings. In 114 of 206 patients, neurologists relied on photographs for ocular fundus assessment. In the remaining 92 patients, 18 patients had abnormal photographs, of which neurologists missed the abnormality in 14 (78%). All neurologists preferred nonmydri...Continue Reading

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Citations

Mar 17, 2020·Journal of Assisted Reproduction and Genetics·Andres ReigEmre Seli
Dec 6, 2020·Current Opinion in Neurology·Robert G TauscherNicholas J Volpe
Apr 15, 2020·The New England Journal of Medicine·Dan MileaUNKNOWN BONSAI Group

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