ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2018
Accuracy and Reliability of a Handheld, Nonmydriatic Fundus Camera for the Remote Detection of Optic Disc Edema.
Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- Fundoscopy use in neurology departments and the utility of smartphone photography: a prospective prevalence and crossover diagnostic accuracy study amongst neurology inpatients.European journal of neurology · 2022Trial
- The Underutilized Ocular Fundus in Emergency Departments: Current Progress and Future Prospect of Imaging and Artificial Intelligence for Patient Care.Ophthalmology science · 2026Review
- Devising a Coaching Method for a Smartphone-Based Slit-Lamp Microscope and Its Learning Effects: A Pilot Study.Journal of clinical medicine · 2026Article
- The Use Of Fundus Photography In The Emergency Room-A Review.Current neurology and neuroscience reports · 2025Review
- Article
- Ultrasound in ocular oncology: Technical advances, clinical applications, and limitations.Experimental biology and medicine (Maywood, N.J.) · 2023Review
- Diagnostic accuracy of handheld fundus photography: A comparative study of three commercially available cameras.PLOS digital health · 2022Article
- Evaluation of a remote telemedicine platform using a novel handheld fundus camera: Physician and patient perceptions from real-world experience.Journal of the Chinese Medical Association : JCMA · 2022Article
- Diagnostic Error in Neuro-ophthalmology: Avenues to Improve.Current neurology and neuroscience reports · 2022Review
- Feasibility of telemedicine program using a hand-held nonmydriatic retinal camera in Panama.International journal of ophthalmology · 2022Article
- Predicting Glaucoma Development With Longitudinal Deep Learning Predictions From Fundus Photographs.American journal of ophthalmology · 2021Article
- Telemedicine in ophthalmology in view of the emerging COVID-19 outbreak.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020Review
- Ophthalmology practice during the COVID-19 pandemic.BMJ open ophthalmology · 2020Article
- Characterization of the retinal vasculature in fundus photos using the PanOptic iExaminer system.Eye and vision (London, England) · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundOptic disc edema can be an important indicator of serious neurological disease, but is poorly detected using the direct ophthalmoscope. Portable fundus photography may overcome this difficulty.
introductionThe purpose of this study was to determine the sensitivity and specificity of a handheld, nonmydriatic fundus camera for the detection of optic disc edema. MATERIALS AND
methodsRetrospective review of nonmydriatic optic disc photographs taken with a portable fundus camera (Pictor Plus; Volk Optical, Mentor, OH) from the University of Michigan Neuro-Ophthalmology Clinics. We included 103 consecutive eyes with optic disc edema and 103 consecutive eyes without optic disc edema of 109 patients. Four masked neuro-ophthalmologists graded a single photograph of each optic disc presented in randomized order and documented the presence of optic disc edema. Sensitivity and specificity of graders' photographic interpretation was compared with clinical examinations. Reliability of assessments within and between graders was determined using kappa statistics.
resultsThe sensitivity and specificity for detection of optic disc edema were 71.8-92.2% and 81.6-95.2%, respectively. Photos were found to be ungradable in 0-8.3% of cases. The intergrader reliabilities ranged from 0.60 [95% confidence interval (CI): 0.52-0.67] to 0.72 (95% CI: 0.66-0.77). Intragrader reliability ranged from 0.76 (95% CI: 0.63-0.92) to 0.82 (95% CI: 0.69-0.95). DISCUSSION: Photographs taken with portable, nonmydriatic technology met threshold sensitivity and specificity for remote screening for optic disc edema when performed by most, but not all graders. Reliability between graders was moderate-strong and strong within individual providers.
conclusionsPortable photography holds promise for use in remote screening of optic disc edema.
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Registered trials
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.