دورية أكاديمية

A novel smartphone ophthalmic imaging adapter: User feasibility studies in Hyderabad, India.

التفاصيل البيبلوغرافية
العنوان: A novel smartphone ophthalmic imaging adapter: User feasibility studies in Hyderabad, India.
المؤلفون: Ludwig CA, Murthy SI, Pappuru RR, Jais A, Myung DJ, Chang RT; Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, CA, USA.
المصدر: Indian journal of ophthalmology [Indian J Ophthalmol] 2016 Mar; Vol. 64 (3), pp. 191-200.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medknow Publications Country of Publication: India NLM ID: 0405376 Publication Model: Print Cited Medium: Internet ISSN: 1998-3689 (Electronic) Linking ISSN: 03014738 NLM ISO Abbreviation: Indian J Ophthalmol Subsets: MEDLINE
أسماء مطبوعة: Publication: Mumbai : Medknow Publications
Original Publication: Bombay : All-India Ophthalmological Society
مواضيع طبية MeSH: Smartphone*, Diagnostic Techniques, Ophthalmological/*instrumentation , Eye Diseases/*diagnosis , Photography/*instrumentation, Adult ; Equipment Design ; Feasibility Studies ; Female ; Humans ; India ; Male ; Middle Aged ; Prospective Studies ; Reproducibility of Results
مستخلص: Aim of Study: To evaluate the ability of ancillary health staff to use a novel smartphone imaging adapter system (EyeGo, now known as Paxos Scope) to capture images of sufficient quality to exclude emergent eye findings. Secondary aims were to assess user and patient experiences during image acquisition, interuser reproducibility, and subjective image quality.
Materials and Methods: The system captures images using a macro lens and an indirect ophthalmoscopy lens coupled with an iPhone 5S. We conducted a prospective cohort study of 229 consecutive patients presenting to L. V. Prasad Eye Institute, Hyderabad, India. Primary outcome measure was mean photographic quality (FOTO-ED study 1-5 scale, 5 best). 210 patients and eight users completed surveys assessing comfort and ease of use. For 46 patients, two users imaged the same patient's eyes sequentially. For 182 patients, photos taken with the EyeGo system were compared to images taken by existing clinic cameras: a BX 900 slit-lamp with a Canon EOS 40D Digital Camera and an FF 450 plus Fundus Camera with VISUPAC™ Digital Imaging System. Images were graded post hoc by a reviewer blinded to diagnosis.
Results: Nine users acquired 719 useable images and 253 videos of 229 patients. Mean image quality was ≥ 4.0/5.0 (able to exclude subtle findings) for all users. 8/8 users and 189/210 patients surveyed were comfortable with the EyeGo device on a 5-point Likert scale. For 21 patients imaged with the anterior adapter by two users, a weighted κ of 0.597 (95% confidence interval: 0.389-0.806) indicated moderate reproducibility. High level of agreement between EyeGo and existing clinic cameras (92.6% anterior, 84.4% posterior) was found.
Conclusion: The novel, ophthalmic imaging system is easily learned by ancillary eye care providers, well tolerated by patients, and captures high-quality images of eye findings.
References: J Biomed Inform. 2009 Apr;42(2):377-81. (PMID: 18929686)
Ophthalmology. 2010 Jun;117(6):1274-1274.e3. (PMID: 20522335)
Ophthalmology. 2012 Oct;119(10):2200-1; author reply 2201. (PMID: 23034305)
Indian J Ophthalmol. 2012 Mar-Apr;60(2):127-31. (PMID: 22446908)
Arch Ophthalmol. 2012 Jul;130(7):939-40. (PMID: 22776940)
J Ophthalmol. 2013;2013:518479. (PMID: 24171108)
Psychol Bull. 1979 Mar;86(2):420-8. (PMID: 18839484)
Indian J Ophthalmol. 2012 Sep-Oct;60(5):487-91. (PMID: 22944765)
Indian J Ophthalmol. 2012 Sep-Oct;60(5):396-400. (PMID: 22944748)
Ophthalmology. 2012 Mar;119(3):617-24. (PMID: 22218140)
Biometrics. 1977 Mar;33(1):159-74. (PMID: 843571)
معلومات مُعتمدة: TL1 TR001084 United States TR NCATS NIH HHS; UL1 RR025744 United States RR NCRR NIH HHS
تواريخ الأحداث: Date Created: 20160506 Date Completed: 20170809 Latest Revision: 20220408
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC4869456
DOI: 10.4103/0301-4738.181742
PMID: 27146928
قاعدة البيانات: MEDLINE
الوصف
تدمد:1998-3689
DOI:10.4103/0301-4738.181742