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Diagnostic Accuracy of Nonmydriatic Fundus Photography for the Detection of Glaucoma in Diabetic Patients
Joint Authors
Oblanca, Noelia
Contreras, Inés
Rebolleda, Gema
Pinazo-Duran, Maria Dolores
Muñoz-Negrete, Francisco J.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-18
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Purpose.
To determine the diagnostic accuracy for glaucoma of a set of criteria with nonmydriatic monoscopic fundus photography (NMFP) in diabetics.
Methods.
Diabetics recruited from a screening program for diabetic retinopathy and diabetic glaucoma patients recruited from our glaucoma unit were included.
Any patient with evidence of diabetic retinopathy was excluded.
Diabetic patients had to have no visual field defects to be included as controls.
Glaucoma patients had to have a glaucomatous field defect in at least one eye to be included.
One NMFP was taken per eye for all subjects.
These photographs were evaluated by two masked glaucoma specialists for the presence of the following: bilateral cup to disc (C/D) ratio ≥0.6, notching or thinning of the neuroretinal rim, disc hemorrhages, and asymmetry in the C/D ratio between both eyes ≥0.2.
This evaluation led to a dichotomous classification: if any of the above criteria was present, the patient was classified as glaucoma.
If none were present, the patient was classified as normal.
Results.
72 control subjects and 72 glaucoma patients were included.
Evaluation of NMFP had a sensitivity of 79.17% and a specificity of 80.56% for specialist 1 and a sensitivity of 72.22% and a specificity of 88.88% for specialist 2 for the detection of glaucoma.
The overall accuracy was 79.83% and 80.55%, respectively.
Discussion.
NMFP evaluation by a glaucoma specialist may be useful for the detection of glaucoma in diabetics.
American Psychological Association (APA)
Muñoz-Negrete, Francisco J.& Contreras, Inés& Oblanca, Noelia& Pinazo-Duran, Maria Dolores& Rebolleda, Gema. 2015. Diagnostic Accuracy of Nonmydriatic Fundus Photography for the Detection of Glaucoma in Diabetic Patients. BioMed Research International،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1057133
Modern Language Association (MLA)
Muñoz-Negrete, Francisco J.…[et al.]. Diagnostic Accuracy of Nonmydriatic Fundus Photography for the Detection of Glaucoma in Diabetic Patients. BioMed Research International No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1057133
American Medical Association (AMA)
Muñoz-Negrete, Francisco J.& Contreras, Inés& Oblanca, Noelia& Pinazo-Duran, Maria Dolores& Rebolleda, Gema. Diagnostic Accuracy of Nonmydriatic Fundus Photography for the Detection of Glaucoma in Diabetic Patients. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1057133
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057133