Evidence map›Paper›PMID 27146928›Full record

ArticleIndian journal of ophthalmology2016

A novel smartphone ophthalmic imaging adapter: User feasibility studies in Hyderabad, India.

Cassie A Ludwig, Somasheila I Murthy, Rajeev R Pappuru, Alexandre Jais, David J Myung, Robert T Chang

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Review
  3. Portable Anterior Eye Segment Imaging System for Teleophthalmology.Translational vision science & technology · 2023
    Article
  4. Article
  5. [Smartphone-based fundus imaging: applications and adapters].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Detection of Optic Disc Abnormalities in Color Fundus Photographs Using Deep Learning.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2021
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Clinically useful smartphone ophthalmic imaging techniques.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Review
  15. Smartphone Ophthalmoscopy: is there a place for it?Clinical ophthalmology (Auckland, N.Z.) · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Cassie A Ludwig
Somasheila I Murthy
Rajeev R Pappuru
Alexandre Jais
David J Myung
Robert T ChangDepartment of Ophthalmology, Stanford University School of Medicine, Palo Alto, CA, USA.
Stanford University · USL V Prasad Eye Institute · INVA Palo Alto Health Care System · US

Funding

Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
Spectrum Stanford Center for Clinical and Translational Research and EducationTL1TR001084 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$1.1M
NCATS NIH HHS TL1 TR001084NCRR NIH HHS UL1 RR025744
6 · The paper itself

Abstract

aim of studyTo evaluate the ability of ancillary health staff to use a novel smartphone imaging adapter system (EyeGo, now known as Paxos Scope) to capture images of sufficient quality to exclude emergent eye findings. Secondary aims were to assess user and patient experiences during image acquisition, interuser reproducibility, and subjective image quality. MATERIALS AND

methodsThe system captures images using a macro lens and an indirect ophthalmoscopy lens coupled with an iPhone 5S. We conducted a prospective cohort study of 229 consecutive patients presenting to L. V. Prasad Eye Institute, Hyderabad, India. Primary outcome measure was mean photographic quality (FOTO-ED study 1-5 scale, 5 best). 210 patients and eight users completed surveys assessing comfort and ease of use. For 46 patients, two users imaged the same patient's eyes sequentially. For 182 patients, photos taken with the EyeGo system were compared to images taken by existing clinic cameras: a BX 900 slit-lamp with a Canon EOS 40D Digital Camera and an FF 450 plus Fundus Camera with VISUPAC™ Digital Imaging System. Images were graded post hoc by a reviewer blinded to diagnosis.

resultsNine users acquired 719 useable images and 253 videos of 229 patients. Mean image quality was ≥ 4.0/5.0 (able to exclude subtle findings) for all users. 8/8 users and 189/210 patients surveyed were comfortable with the EyeGo device on a 5-point Likert scale. For 21 patients imaged with the anterior adapter by two users, a weighted κ of 0.597 (95% confidence interval: 0.389-0.806) indicated moderate reproducibility. High level of agreement between EyeGo and existing clinic cameras (92.6% anterior, 84.4% posterior) was found.

conclusionThe novel, ophthalmic imaging system is easily learned by ancillary eye care providers, well tolerated by patients, and captures high-quality images of eye findings.

Indexed as

SmartphoneAdultDiagnostic Techniques, OphthalmologicalEquipment DesignEye DiseasesFeasibility StudiesFemaleHumansIndiaMaleMiddle AgedPhotographyProspective StudiesReproducibility of Results

Identifiers

PMID27146928
PMCPMC4869456
OpenAlexW2346802120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.