SMARTPHONE-BASED DILATED FUNDUS PHOTOGRAPHY AND NEAR VISUAL ACUITY TESTING AS INEXPENSIVE SCREENING TOOLS TO DETECT REFERRAL WARRANTED DIABETIC EYE DISEASE

Retina
Brian C ToyMark S Blumenkranz

Abstract

To compare clinical assessment of diabetic eye disease by standard dilated examination with data gathered using a smartphone-based store-and-forward teleophthalmology platform. 100 eyes of 50 adult patients with diabetes from a health care safety-net ophthalmology clinic. All patients underwent comprehensive ophthalmic examination. Concurrently, a smartphone was used to estimate near visual acuity and capture anterior and dilated posterior segment photographs, which underwent masked, standardized review. Quantitative comparison of clinic and smartphone-based data using descriptive, kappa, Bland-Altman, and receiver operating characteristic analyses was performed. Smartphone visual acuity was successfully measured in all eyes. Anterior and posterior segment photography was of sufficient quality to grade in 96 and 98 eyes, respectively. There was good correlation between clinical Snellen and smartphone visual acuity measurements (rho = 0.91). Smartphone-acquired fundus photographs demonstrated 91% sensitivity and 99% specificity to detect moderate nonproliferative and worse diabetic retinopathy, with good agreement between clinic and photograph grades (kappa = 0.91 ± 0.1, P < 0.001; AUROC = 0.97, 95% confidence interval, 0.93-1)....Continue Reading

References

Jan 1, 1984·Ophthalmology·R KleinS E Moss
Jul 1, 1982·American Journal of Ophthalmology·F L FerrisI Bailey
Oct 13, 1993·JAMA : the Journal of the American Medical Association·R J BrechnerM I Harris
Jun 6, 2003·Diabetic Medicine : a Journal of the British Diabetic Association·P H ScanlonS J Aldington
Sep 18, 2003·Ophthalmology·C P WilkinsonUNKNOWN Global Diabetic Retinopathy Project Group
Jan 27, 2004·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Johanna Choremis, David R Chow
Apr 20, 2006·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Ingrid Zimmer-Galler, Ran Zeimer
Feb 21, 2007·Journal of Rehabilitation Research and Development·Paul R ConlinAdam W Darkins
Apr 15, 2008·Journal of Diabetes and Its Complications·Nicholas EmanueleUNKNOWN VADT Study Group
Feb 11, 2010·Journal of Diabetes Science and Technology·Jorge Cuadros, George Bresnick
Aug 12, 2010·JAMA : the Journal of the American Medical Association·Xinzhi ZhangRonald Klein
Nov 26, 2010·Seminars in Ophthalmology·Cecilia R SanchezLloyd M Aiello
Oct 6, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Helen K LiJay Federman
Nov 15, 2011·Diabetes Research and Clinical Practice·David R WhitingJonathan Shaw
Oct 3, 2012·Archives of Internal Medicine·Seema GargEdward Chaum
Oct 10, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Steven L MansbergerThomas M Becker
Nov 14, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Eric K ChinSusanna S Park
May 31, 2014·Journal of Diabetes Science and Technology·Irena TsuiBradley R Straatsma
Dec 3, 2014·American Journal of Ophthalmology·Andrea RussoFrancesco Semeraro
Feb 19, 2015·The New England Journal of Medicine·UNKNOWN Diabetic Retinopathy Clinical Research NetworkRoy W Beck

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Citations

Oct 18, 2016·Seminars in Ophthalmology·Aditi GuptaPaolo S Silva
Nov 1, 2016·Current Diabetes Reports·Mark B HortonLloyd Paul Aiello
Apr 5, 2017·Retina·Lingmin HeDavid Myung
Jul 27, 2018·JAAPA : Official Journal of the American Academy of Physician Assistants·Eric BifolckTanya Gregory
Oct 4, 2018·Translational Vision Science & Technology·Tyson N KimDaniel A Fletcher
May 12, 2019·Sensors·Sumit Majumder, M Jamal Deen
May 18, 2019·Ophthalmic Surgery, Lasers & Imaging Retina·Yannick BilongAshish Sharma
Apr 30, 2020·Journal of Medical Internet Research·Choon Han TanLorainne Tudor Car
Jun 9, 2020·Ophthalmic Surgery, Lasers & Imaging Retina·Krystal Y LaiDavid Myung
Sep 30, 2020·Journal of Telemedicine and Telecare·Joel MintzKunyong Xu
May 26, 2017·Retina·Ashish MitraPawan Puneet Malhotra
Aug 24, 2019·Translational Vision Science & Technology·Xiaotong HanMingguang He
Jun 9, 2020·Sleep & Breathing = Schlaf & Atmung·Tharun Niranjan Gomudurai PandianSanjiv Narayan
Mar 27, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Mark B HortonIngrid Zimmer-Galler
Nov 12, 2018·Ophthalmology and Therapy·Beau J FennerGemmy C M Cheung
Nov 24, 2020·Journal of Telemedicine and Telecare·Anindya SamantaPatricia C Nelson
Jul 23, 2020·Asia-Pacific Journal of Ophthalmology·Maximilian W M WintergerstRobert P Finger
Dec 10, 2020·Translational Vision Science & Technology·Cassie A LudwigTheodore Leng
Apr 27, 2021·Frontiers in Cell and Developmental Biology·Li DongWen Bin Wei
May 21, 2021·Clinical Ophthalmology·James KohlerSandra R Montezuma

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