Diagnostic accuracy and detection rate of glaucoma screening with optic disk photos, optical coherence tomography images, and telemedicine
Autor/a
Nolivos, Karen
Pazos, Marta
Fatti, Gianluca
Ayala, Miriam Eleonora
Martínez-Prats, Elena
Peral, Oscar
Poposki, Vladimir
Tsiroukis, Evangelos
Morilla-Grasa, Antonio
Comas, Merce
Castells, Xavier
Data de publicació
2022ISSN
2077-0383
Resum
Purpose: The aim of this study was to evaluate the diagnostic accuracy of optical coherence tomography (OCT) and retinography in the detection of glaucoma through a telemedicine program. Methods: A population-based sample of 4113 persons was randomly selected. The screening examination included a fundus photograph and OCT images. Images were evaluated on a deferred basis. All participants were then invited to a complete glaucoma examination, including gonioscopy, visual field, and dilated fundus examination. The detection rate, sensitivity, specificity, and positive and negative predictive values were calculated. Results: We screened 1006 persons. Of these, 201 (19.9%) were classified as glaucoma suspects; 20.4% were identified only by retinographs, 11.9% only by OCT images, and 46.3% by both. On ophthalmic examination at the hospital (n = 481), confirmed glaucoma was found in 58 (12.1%), probable glaucoma in 76 (15.8%), and ocular hypertension in 10 (2.1%), and no evidence of glaucoma was found in 337 (70.0%). The detection rate for confirmed or probable glaucoma was 9.2%. Sensitivity ranged from 69.4% to 86.2% and specificity from 82.1% to 97.4%, depending on the definition applied. Conclusions: The combination of OCT images and fundus photographs yielded a detection rate of 9.2% in a population-based screening program with moderate sensitivity, high specificity, and predictive values of 84–96%.
Tipus de document
Article
Versió del document
Versió publicada
Llengua
English
Matèries (CDU)
61 - Medicina
617 - Cirurgia. Ortopèdia. Oftalmologia
Paraules clau
Glaucoma
Tomografia de coherència òptica
Retinografia
Telemedicina
Projecció
Glaucoma
Tomografía de coherencia óptica
Retinografía
Telemedicina
Proyección
Glaucoma
Optical coherence tomography
Retinography
Telemedicine
Screening
Pàgines
11
Publicat per
MDPI
Col·lecció
11; 1
Publicat a
Journal of Clinical Medicine
Citació
Anton, Alfonso; Nolivos, Karen; Pazos, Marta [et al.]. Diagnostic accuracy and detection rate of glaucoma screening with optic disk photos, optical coherence tomography images, and telemedicine. Journal of Clinical Medicine, 2022, 11(1), 216. Disponible en: <https://www.mdpi.com/2077-0383/11/1/216>. Fecha de acceso: 27 ene. 2022. DOI: 10.3390/jcm11010216
Aquest element apareix en la col·lecció o col·leccions següent(s)
- Ciències de la Salut [745]
Drets
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