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
Fecha de publicación
2022ISSN
2077-0383
Resumen
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%.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
English
Materias (CDU)
61 - Medicina
617 - Cirugía. Ortopedia. Oftalmología
Palabras clave
Glaucoma
Tomografia de coherència òptica
Retinografia
Telemedicina
Projecció
Glaucoma
Tomografía de coherencia óptica
Retinografía
Telemedicina
Proyección
Glaucoma
Optical coherence tomography
Retinography
Telemedicine
Screening
Páginas
11
Publicado por
MDPI
Colección
11; 1
Publicado en
Journal of Clinical Medicine
Citación
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
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- Ciències de la Salut [745]
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