Assessment of non-mydriatic fundus photography in detection of diabetic retinopathy.
Non-mydriatic retinal photography with later interpretation of the photographs was assessed as a screening method for the detection of diabetic retinopathy; when compared with an ophthalmologist's clinical assessment in a random group of 62 diabetic patients it was accurate (false negative 6.8%, false positive 2%) and sensitive (sensitivity 96%, specificity 98%). The assessment of further management required based on analysis of the photographs was 96.5% in agreement with the further management suggested by the ophthalmologist after direct clinical assessment of the patient. If this technique were used to screen patients in a typical diabetic clinic the predicted positive accuracy rate would be 84% and the predicted negative accuracy rate 99.5%.
D003930:Diabetic Retinopathy / Q000175:diagnosis* / Q000473:pathology; D005451:Fluorescein Angiography; D006801:Humans; D009885:Ophthalmology; D011897:Random Allocation; D012160:Retina / Q000473:pathology