Diagnostic accuracy of nonmydriatic fundus photography for the detection of glaucoma in diabetic patients.
Autores
Muñoz Negrete, Francisco José; Contreras Martin, Ines; Oblanca Llamazares, Noelia; Pinazo-Duran, Maria Dolores; Rebolleda Fernández, GemaIdentificadores
Enlace permanente (URI): http://hdl.handle.net/10017/28080DOI: 10.1155/2015/892174
ISSN: 2314-6133
Editor
Hindawi
Fecha de publicación
2015-06-14Patrocinadores
Ministerio de Economía y Competitividad
Agencia Estatal de Investigación
Cita bibliográfica
Biomed Research International, 2015, p. 1-8
Palabras clave
Oftalmología
Patología ocular
Glaucoma
Proyectos
info:eu-repo/grantAgreement/MINECO/Plan Nacional de I+D+i 2008-2011/ES
Tipo de documento
info:eu-repo/semantics/article
Versión
info:eu-repo/semantics/publishedVersion
Versión del editor
http://dx.doi.org/10.1155/2015/892174Derechos
Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
Derechos de acceso
info:eu-repo/semantics/openAccess
Resumen
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.
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