南方医科大学附属小榄医院眼科,广东,中山,528415
网络首发:2018-03-10,
纸质出版:2018
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全婵娟, 杨新怀, 李文庆, 等. 免散瞳眼底彩照在糖尿病视网膜病变社区远程筛查中的应用[J]. 中山大学学报(医学科学版), 2018,39(2).
Application of Non-mydriatic Digital Fundus Camera in Remote Screen of Diabetic Retinopathy for Community Residents[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018, 39(2).
: 【目的】评估免散瞳眼底彩照用于糖尿病视网膜病变(DR)社区远程筛查的可行性。【方法】92名糖 尿病患者184只眼在社区进行1方位、5方位免散瞳眼底彩照并将结果传至医院,分析二者DR检出的一致性并 比较所需时间,同时分别分析二者与散瞳后前置镜检查DR检出率的一致性。【结果】1方位、5方位免散瞳眼底彩 照分别与散瞳后前置镜检查相比,二者对DR的检出率一致性良好(κ值分别为0.89,0.95);1方位与5方位免散 瞳眼底彩照相比,二者对 DR 的检出率一致性良好,κ=0.95;1 方位比 5 方位免散瞳眼底彩照拍摄时间(s)更短 (55.4±5.8 vs 405.9±68.5,P<0.01)。【结论】免散瞳眼底彩照可以用于DR的社区远程筛查,建议以1方位免散瞳眼 底彩照为基础的DR社区远程筛查模式作为DR的筛查方法。
【Objective】To evaluate the practicality of non-mydriatic digital fundus camera in the remote screen of diabetic retinopathy for community residents.【Methods】Ninety-two patients(184 eyes)with type 2 diabetes mellitus have been taken 1-field and 5-field non-mydriatic fundus photography and examination in mydriatic fundus by pre? placed-mirror ophthalmoscopy by a ophthalmologist,the results were sent to the hospital with a computer programs. A specialist evaluates the consistency of detectable rate of diabetic retinophathy(DR)among the 3 methods. The time of tak? ing 1-field and 5-field non-mydriatic fundus photography is compared.【Results】All the three methods show good consis? tency in detectable rate of DR compare with each other,the κ value is 0.89 for 1-field non-mydriatic fundus photography and examination in mydriatic fundus by preplaced-mirror ophthalmoscopy,0.95 for 1-field and 5-field non-mydriatic fundus photography and 0.95 for 5-field non-mydriatic fundus photography and examination in mydriatic fundus by pre? placed-mirror ophthalmoscopy,respectively. The 1-field non-mydriatic fundus photography spent less time compares with 5-field non-mydriatic fundus photography(55.4±5.8 vs 405.9±68.5 s,P<0.01).【Conclusion】The remote screen for diabetic retinopathy in community based on non-mydriatic digital fundus camera is worth promoting,we suggest 1-field non-mydriatic fundus photography as a screen method.
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