Diagnostic Accuracy of Nonmydriatic Fundus Photography for the Detection of Glaucoma in Diabetic Patients
Identifieur interne : 000167 ( Main/Exploration ); précédent : 000166; suivant : 000168Diagnostic Accuracy of Nonmydriatic Fundus Photography for the Detection of Glaucoma in Diabetic Patients
Auteurs : Francisco J. Mu Oz-Negrete [Espagne] ; Inés Contreras [Espagne] ; Noelia Oblanca [Espagne] ; M. Dolores Pinazo-Durán [Espagne] ; Gema Rebolleda [Espagne]Source :
- BioMed Research International [ 2314-6133 ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/892174
PubMed: 26557709
PubMed Central: 4628709
Affiliations:
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Mu Oz-Negrete</name><affiliation wicri:level="2"><nlm:aff id="I1">Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Universidad de Alcalá, Alcalá de Henares, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Universidad de Alcalá, Alcalá de Henares</wicri:regionArea><wicri:noRegion>Alcalá de Henares</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Contreras, Ines" sort="Contreras, Ines" uniqKey="Contreras I" first="Inés" last="Contreras">Inés Contreras</name><affiliation wicri:level="2"><nlm:aff id="I1">Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Oblanca, Noelia" sort="Oblanca, Noelia" uniqKey="Oblanca N" first="Noelia" last="Oblanca">Noelia Oblanca</name><affiliation wicri:level="2"><nlm:aff id="I1">Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pinazo Duran, M Dolores" sort="Pinazo Duran, M Dolores" uniqKey="Pinazo Duran M" first="M. 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Mu Oz-Negrete</name><affiliation wicri:level="2"><nlm:aff id="I1">Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Universidad de Alcalá, Alcalá de Henares, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Universidad de Alcalá, Alcalá de Henares</wicri:regionArea><wicri:noRegion>Alcalá de Henares</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Contreras, Ines" sort="Contreras, Ines" uniqKey="Contreras I" first="Inés" last="Contreras">Inés Contreras</name><affiliation wicri:level="2"><nlm:aff id="I1">Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Oblanca, Noelia" sort="Oblanca, Noelia" uniqKey="Oblanca N" first="Noelia" last="Oblanca">Noelia Oblanca</name><affiliation wicri:level="2"><nlm:aff id="I1">Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pinazo Duran, M Dolores" sort="Pinazo Duran, M Dolores" uniqKey="Pinazo Duran M" first="M. Dolores" last="Pinazo-Durán">M. Dolores Pinazo-Durán</name><affiliation wicri:level="3"><nlm:aff id="I3">Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Ophthalmology Research Unit “Santiago Grisolía”, Faculty of Medicine and Odontology, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Ophthalmology Research Unit “Santiago Grisolía”, Faculty of Medicine and Odontology, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Rebolleda, Gema" sort="Rebolleda, Gema" uniqKey="Rebolleda G" first="Gema" last="Rebolleda">Gema Rebolleda</name><affiliation wicri:level="2"><nlm:aff id="I1">Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigaciones Sanitarias (IRYCIS), 28034 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Universidad de Alcalá, Alcalá de Henares, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Universidad de Alcalá, Alcalá de Henares</wicri:regionArea><wicri:noRegion>Alcalá de Henares</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">BioMed Research International</title><idno type="ISSN">2314-6133</idno><idno type="eISSN">2314-6141</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Purpose.</italic> To determine the diagnostic accuracy for glaucoma of a set of criteria with nonmydriatic monoscopic fundus photography (NMFP) in diabetics.<italic> Methods.</italic> Diabetics recruited from a screening program for diabetic retinopathy and diabetic glaucoma patients recruited from our glaucoma unit were included. Any patient with evidence of diabetic retinopathy was excluded. Diabetic patients had to have no visual field defects to be included as controls. Glaucoma patients had to have a glaucomatous field defect in at least one eye to be included. One NMFP was taken per eye for all subjects. These photographs were evaluated by two masked glaucoma specialists for the presence of the following: bilateral cup to disc (C/D) ratio ≥0.6, notching or thinning of the neuroretinal rim, disc hemorrhages, and asymmetry in the C/D ratio between both eyes ≥0.2. This evaluation led to a dichotomous classification: if any of the above criteria was present, the patient was classified as glaucoma. If none were present, the patient was classified as normal.<italic> Results.</italic> 72 control subjects and 72 glaucoma patients were included. Evaluation of NMFP had a sensitivity of 79.17% and a specificity of 80.56% for specialist 1 and a sensitivity of 72.22% and a specificity of 88.88% for specialist 2 for the detection of glaucoma. The overall accuracy was 79.83% and 80.55%, respectively.<italic> Discussion.</italic> NMFP evaluation by a glaucoma specialist may be useful for the detection of glaucoma in diabetics.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ramrattan, R S" uniqKey="Ramrattan R">R. S. Ramrattan</name></author><author><name sortKey="Wolfs, R C W" uniqKey="Wolfs R">R. C. W. Wolfs</name></author><author><name sortKey="Panda Jonas, S" uniqKey="Panda Jonas S">S. Panda-Jonas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cook, C" uniqKey="Cook C">C. Cook</name></author><author><name sortKey="Foster, P" uniqKey="Foster P">P. 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Fontana</name></author><author><name sortKey="Hitchings, R A" uniqKey="Hitchings R">R. A. Hitchings</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arnalich Montiel, F" uniqKey="Arnalich Montiel F">F. Arnalich-Montiel</name></author><author><name sortKey="Mu Oz Negrete, F J" uniqKey="Mu Oz Negrete F">F. J. Muñoz-Negrete</name></author><author><name sortKey="Rebolleda, G" uniqKey="Rebolleda G">G. Rebolleda</name></author><author><name sortKey="Sales Sanz, M" uniqKey="Sales Sanz M">M. Sales-Sanz</name></author><author><name sortKey="Cabarga, C" uniqKey="Cabarga C">C. Cabarga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greaney, M J" uniqKey="Greaney M">M. J. Greaney</name></author><author><name sortKey="Hoffman, D C" uniqKey="Hoffman D">D. C. Hoffman</name></author><author><name sortKey="Garway Heath, D F" uniqKey="Garway Heath D">D. F. Garway-Heath</name></author><author><name sortKey="Nakla, M" uniqKey="Nakla M">M. Nakla</name></author><author><name sortKey="Coleman, A L" uniqKey="Coleman A">A. L. Coleman</name></author><author><name sortKey="Caprioli, J" uniqKey="Caprioli J">J. Caprioli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reus, N J" uniqKey="Reus N">N. J. Reus</name></author><author><name sortKey="De Graaf, M" uniqKey="De Graaf M">M. de Graaf</name></author><author><name sortKey="Lemij, H G" uniqKey="Lemij H">H. G. Lemij</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reus, N J" uniqKey="Reus N">N. J. Reus</name></author><author><name sortKey="Lemij, H G" uniqKey="Lemij H">H. G. Lemij</name></author><author><name sortKey="Garway Heath, D F" uniqKey="Garway Heath D">D. F. Garway-Heath</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Mu Oz Negrete, Francisco J" sort="Mu Oz Negrete, Francisco J" uniqKey="Mu Oz Negrete F" first="Francisco J." last="Mu Oz-Negrete">Francisco J. Mu Oz-Negrete</name></region><name sortKey="Contreras, Ines" sort="Contreras, Ines" uniqKey="Contreras I" first="Inés" last="Contreras">Inés Contreras</name><name sortKey="Contreras, Ines" sort="Contreras, Ines" uniqKey="Contreras I" first="Inés" last="Contreras">Inés Contreras</name><name sortKey="Mu Oz Negrete, Francisco J" sort="Mu Oz Negrete, Francisco J" uniqKey="Mu Oz Negrete F" first="Francisco J." last="Mu Oz-Negrete">Francisco J. Mu Oz-Negrete</name><name sortKey="Mu Oz Negrete, Francisco J" sort="Mu Oz Negrete, Francisco J" uniqKey="Mu Oz Negrete F" first="Francisco J." last="Mu Oz-Negrete">Francisco J. Mu Oz-Negrete</name><name sortKey="Oblanca, Noelia" sort="Oblanca, Noelia" uniqKey="Oblanca N" first="Noelia" last="Oblanca">Noelia Oblanca</name><name sortKey="Pinazo Duran, M Dolores" sort="Pinazo Duran, M Dolores" uniqKey="Pinazo Duran M" first="M. Dolores" last="Pinazo-Durán">M. Dolores Pinazo-Durán</name><name sortKey="Pinazo Duran, M Dolores" sort="Pinazo Duran, M Dolores" uniqKey="Pinazo Duran M" first="M. Dolores" last="Pinazo-Durán">M. Dolores Pinazo-Durán</name><name sortKey="Rebolleda, Gema" sort="Rebolleda, Gema" uniqKey="Rebolleda G" first="Gema" last="Rebolleda">Gema Rebolleda</name><name sortKey="Rebolleda, Gema" sort="Rebolleda, Gema" uniqKey="Rebolleda G" first="Gema" last="Rebolleda">Gema Rebolleda</name><name sortKey="Rebolleda, Gema" sort="Rebolleda, Gema" uniqKey="Rebolleda G" first="Gema" last="Rebolleda">Gema Rebolleda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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