당뇨망막병증 검진에 있어 무산동 디지털 안저사진기의 효용성

• 영문명: Efficacy of Single-Field Non-Mydriatic Digital Fundus Photography for Screening Diabetic Retinopathy
• 발행기관: 대한안과학회
• 저자명: 이대웅 배정훈 송수정,Dae Woong Lee, MD, Jeong Hoon Bae, MD, Su Jeong Song, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number5, 531~536쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.05.15

영문 초록

Purpose: To evaluate the efficacy of a single field, non-mydriatic, 45° digital photography as a diagnostic tool for diabetic retinopathy. Methods: A total of 303 consecutive diabetic patients (606 eyes) who underwent digital fundus photography and indirect ophthalmoscopy were included in the present study. The optical discs and macular area of all patients were subjected to single fundus photography using a non-mydriatic 45-degree digital fundus camera. All patients also underwent fundus examinations after pupil dilation via indirect ophthalmoscopy. Results: The sensitivity and specificity for determining diabetic retinopathy were 47.6% and 97.6%, respectively. The false positive rate, false negative rate, positive predictive value, and negative predictive values were 2.3%, 2.1%, 45.5%, and 97.8%, respectively. Among the digital fundus images, 12.9% (78 eyes) were non-gradable. The patients with non-gradable digital fundus images were older (p < 0.001), had a longer duration of diabetes, (p < 0.001) and more often suffered from systemic hypertension (p = 0.003) compared to patients with gradable photographs. Conclusions: The present study showed that single-field, non-mydriatic, 45 degree digital photography for detecting diabetic retinopathy had relatively low sensitivity and high technical failure rates. The failure rates could be improved with higher resolution non-mydriatic wide-field photography cameras and with additional peripheral images for diabetic retinopathy screening. J Korean Ophthalmol Soc 2011;52(5):531-536

키워드

Camera, Diabetic, Fundus, Non-mydriatic, Retinopathy