RT info:eu-repo/semantics/article
T1 Diagnostic accuracy of nonmydriatic fundus photography for the detection of glaucoma in diabetic patients.
A1 Muñoz Negrete, Francisco José
A1 Contreras Martin, Ines
A1 Oblanca Llamazares, Noelia
A1 Pinazo-Duran, Maria Dolores
A1 Rebolleda Fernández, Gema
K1 Oftalmología
K1 Patología ocular
K1 Glaucoma
K1 Ciencias de la salud
K1 Medicina
AB 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.
PB Hindawi
SN 2314-6133
YR 2015
FD 2015-06-14
LK http://hdl.handle.net/10017/28080
UL http://hdl.handle.net/10017/28080
LA eng
NO Ministerio de Economía y Competitividad
DS MINDS@UW
RD 16-abr-2024