ArticleJournal of the Chinese Medical Association : JCMA2020
Image quality and diagnostic accuracy of a handheld nonmydriatic fundus camera: Feasibility of a telemedical approach in screening retinal diseases.
Article in Journal of the Chinese Medical Association : JCMA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- Macular pigment optical density and measurement technology based on artificial intelligence: a narrative review.International journal of ophthalmology · 2025Review
- The Assessment of Retinal Image Quality Using a Non-Mydriatic Fundus Camera in a Teleophthalmologic Platform.Diagnostics (Basel, Switzerland) · 2024Article
- Quality assessment of non-mydriatic fundus photographs for glaucoma screening in primary healthcare centres: a real-world study.BMJ open ophthalmology · 2023Article
- Bridging the Camera Domain Gap With Image-to-Image Translation Improves Glaucoma Diagnosis.Translational vision science & technology · 2023Article
- Examining the Role of Telemedicine in Diabetic Retinopathy.Journal of clinical medicine · 2023Review
- Surfing the COVID-19 Tsunami with Teleophthalmology: the Advent of New Models of Eye Care.Current ophthalmology reports · 2023Review
- Adversarial training and deep k-nearest neighbors improves adversarial defense of glaucoma severity detection.Heliyon · 2022Article
- Assessment of image quality on color fundus retinal images using the automatic retinal image analysis.Scientific reports · 2022Article
- The safety and feasibility of the screening for retinopathy of prematurity assisted by telemedicine network during COVID-19 pandemic in Wuhan, China.BMC ophthalmology · 2021Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA suitable fundus camera for telemedicine screening can expand the scale of eye care service. The purpose of this study was to compare a handheld nonmydriatic digital fundus camera and a conventional mydriatic fundus camera according to the image quality of their photographs and usability of those photographs to accurately diagnose various retinal diseases.
methodsA handheld nonmydriatic fundus camera and conventional fundus camera were used to take fundus photographs of outpatients at an ophthalmic clinic before and after pupillary dilation. Image quality and diagnostic agreement of the photos were graded by two masked and experienced retinal specialists.
resultsA total of 867 photographs of 393 eyes of 200 patients were collected. Approximately 80% of photos taken under nonmydriasis status using the handheld nonmydriatic fundus camera had good (55.7%) or excellent (22.7%) image quality. The overall agreement of diagnoses between the doctors was more than 90%. When the handheld nonmydriatic fundus camera was used after mydriasis, the proportion of images with good (45%) or excellent (49.7%) quality reached 94.7% and diagnostic agreement was 93.4%. Lens opacity was associated with the quality of images obtained using the handheld camera (p = 0.041), and diagnosis disagreement for handheld camera images was associated with preexisting diabetes diagnosis (p = 0.009). Approximately 40% of patients expressed preference for use of the handheld nonmydriatic camera.
conclusionThis study demonstrated the effectiveness of the handheld nonmydriatic fundus camera in clinical practice and its feasibility for telemedicine screening of retinal diseases.
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Registered trials
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