Evidence map›Paper›PMID 31974824›Full record

Observational studyInternational ophthalmology2020

Comparison of meibomian gland loss area measurements between two computer programs and intra-inter-observer agreement.

Manuel Garza-Leon, Alejandra Gonzalez-Dibildox, Nallely Ramos-Betancourt, Everardo Hernandez-Quintela

Abstract readComparative StudyObservational Study
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In one paragraph

Observational study in International ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
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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

4 authors.

Manuel Garza-LeonClinical Science Department, Science of Health Division, University of Monterrey, Ave Hidalgo # 2425 Poniente, Colonia Centro, C.P 64700, Monterrey, Nuevo León, Mexico. dr.manuel.garza@gmail.com.ORCID http://orcid.org/0000-0001-9515-1992
Alejandra Gonzalez-DibildoxCornea and Refractive Surgery Services, Hospital "Dr. Luis Sanchez Bulnes", Asociacion Para Evitar La Ceguera en Mexico, Mexico City, Mexico.
Nallely Ramos-BetancourtCornea and Refractive Surgery Services, Hospital "Dr. Luis Sanchez Bulnes", Asociacion Para Evitar La Ceguera en Mexico, Mexico City, Mexico.
Everardo Hernandez-QuintelaCornea and Refractive Surgery Services, Hospital "Dr. Luis Sanchez Bulnes", Asociacion Para Evitar La Ceguera en Mexico, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeibography is a diagnostic test that allows in vivo evaluation of meibomian gland (MG). Nowadays, it is unknown whether the two available computer programs are equivalent to evaluate the glandular loss area.

methodsThis is a prospective, longitudinal, and observational study. A random selection of meibography photographs from healthy patients from the ocular surface clinic at Destellos de Luz foundation is made. The upper eyelid images were taken with the Antares® meibography (CSO, Florence, Italy); they were classified in five sessions with a week of separation between each measurement by an expert observer for each program, Phoenix (MAGL) and ImageJ (LAGB). An analysis of the meibomian gland loss area was performed, calculating it semiautomatically with Phoenix and manually with ImageJ. Intra-observer agreement was assessed through an intra-class correlation coefficient and the mean of standard deviations within subjects. Comparison between the two computational programs MG loss was made trough a nonparametric test.

resultsFifty-four images from x patients (n, 67.3% female) were analyzed. The limits of concordance analysis between the two programs showed a range between - 18.55 and 9.14%. The mean MG loss area through ImageJ by observer 1 was 27.91 ± 14.82% (IC 95% 23.87 to 31.96), and that by observer 2 was 29.05 ± 15.17% (95% CI 24.91 to 33.19). The mean MG loss area through Phoenix by observer 1 was 24.48 ± 13.97% (IC 95% 20.67 to 28.29), and that by observer 2 was 24.93 ± 12.70% (95% CI 21.46, 28.40)

conclusionsThe comparison of the measurement of meibomian gland loss with both programs showed a statistically significant difference. Intra-observer repeatability and inter-observer repeatability were good, with no clinical or statistical difference.

Indexed as

SoftwareAdolescentAdultAgedChildDiagnosis, Computer-AssistedEyelidsFemaleFollow-Up StudiesHumansMaleMeibomian Gland DysfunctionMeibomian GlandsMiddle AgedProspective StudiesROC CurveDry eyeInfrared lightMeibographyMeibomian glandsTear film

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Registered trials

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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.