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Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting.
Midena, Edoardo; Zennaro, Luca; Lapo, Cristian; Torresin, Tommaso; Midena, Giulia; Pilotto, Elisabetta; Frizziero, Luisa.
  • Midena E; Department of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, Italy.
  • Zennaro L; IRCCS-Fondazione Bietti, 00198 Rome, Italy.
  • Lapo C; Department of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, Italy.
  • Torresin T; Department of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, Italy.
  • Midena G; Department of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, Italy.
  • Pilotto E; IRCCS-Fondazione Bietti, 00198 Rome, Italy.
  • Frizziero L; Department of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, Italy.
J Clin Med ; 11(9)2022 Apr 22.
Article in English | MEDLINE | ID: covidwho-1847351
ABSTRACT
The aim of the study was to validate the performance of the Optomed Aurora® handheld fundus camera in diabetic retinopathy (DR) screening. Patients who were affected by diabetes mellitus and referred to the local DR screening service underwent fundus photography using a standard table-top fundus camera and the Optomed Aurora® handheld fundus camera. All photos were taken by a single, previously unexperienced operator. Among 423 enrolled eyes, we found a prevalence of 3.55% and 3.31% referable cases with the Aurora® and with the standard table-top fundus camera, respectively. The Aurora® obtained a sensitivity of 96.9% and a specificity of 94.8% in recognizing the presence of any degree of DR, a sensitivity of 100% and a specificity of 99.8% for any degree of diabetic maculopathy (DM) and a sensitivity of 100% and specificity of 99.8% for referable cases. The overall concordance coefficient k (95% CI) was 0.889 (0.828-0.949) and 0.831 (0.658-1.004) with linear weighting for DR and DM, respectively. The presence of hypertensive retinopathy (HR) was recognized by the Aurora® with a sensitivity and specificity of 100%. The Optomed Aurora® handheld fundus camera proved to be effective in recognizing referable cases in a real-life DR screening setting. It showed comparable results to a standard table-top fundus camera in DR, DM and HR detection and grading. The Aurora® can be integrated into telemedicine solutions and artificial intelligence services which, in addition to its portability and ease of use, make it particularly suitable for DR screening.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Risk factors / Screening study Language: English Year: 2022 Document Type: Article Affiliation country: Jcm11092352

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Risk factors / Screening study Language: English Year: 2022 Document Type: Article Affiliation country: Jcm11092352