Meibography health score: a simple grading system for isotretinoin-induced meibography alterations on patients with acne vulgaris.
Arq Bras Oftalmol
; 88(1): e20230150, 2024.
Article
em En
| MEDLINE
| ID: mdl-39109742
ABSTRACT
PURPOSE:
To develop a simple, subjective, and reliable grading scale for isotretinoin-induced meibography changes.METHODS:
After analyzing meibography images obtained from systemic isotretinoin users, a grading scale was proposed and named "meibography health score." The score ranged from 1 to 3, with decreasing gland reflectivity and identifiable margins. A total of 11 medical professionals were asked to grade 10 meibography images obtained from isotretinoin users using the proposed scale and were divided into three groups (A) ophthalmologists with experience with meibography, (B) ophthalmologists with no experience with meibography, and (C) radiologists. The kappa statistic was determined to test interrater reliability.RESULTS:
The overall kappa was approximately 0.64. The kappa scores for Groups A, B, and C were 0.78, 0.59, and 0.90, respectively. Grade 2 had the lowest kappa scores (0.62, 0.35, and 0.82 for A, B, and C, respectively) and grade 3 the highest (0.78, 0.90, and 1.0 for A, B and C, respectively). Furthermore, Group C had the highest kappa scores and Group B the lowest.CONCLUSION:
The meibography health score exhibited good interrater reliability, particularly in severe cases.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Isotretinoína
/
Variações Dependentes do Observador
/
Acne Vulgar
/
Fármacos Dermatológicos
/
Glândulas Tarsais
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Arq Bras Oftalmol
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil