Journal article
Fundus autofluorescence and colour fundus imaging compared during telemedicine screening in patients with diabetes
Journal of telemedicine and telecare, Vol.19(4), pp.209-212
06/2013
DOI: 10.1177/1357633x13492292
PMID: 24163061
Abstract
We investigated the use of fundus autofluorescence (FAF) imaging in screening the eyes of patients with diabetes. Images were obtained from 50 patients with type 2 diabetes undergoing telemedicine screening with colour fundus imaging. The colour and FAF images were obtained with a 15.1 megapixel non-mydriatic retinal camera. Colour and FAF images were compared for pathology seen in nonproliferative and proliferative diabetic retinopathy (NPDR and PDR, respectively). A qualitative assessment was made of the ease of detecting early retinopathy changes and the extent of existing retinopathy. The mean age of the patients was 47 years, most were male (82%) and most were African American (68%). Their mean visual acuity was 20/45 and their mean intraocular pressure was 14.3 mm Hg. Thirty-eight eyes (76%) did not show any diabetic retinopathy changes on colour or FAF imaging. Seven patients (14%) met the criteria for NPDR and five (10%) for severe NPDR or PDR. The most common findings were microaneurysms, hard exudates and intra-retinal haemorrhages (IRH) (n = 6 for each). IRH, microaneurysms and chorioretinal scars were more easily visible on FAF images. Hard exudates, pre-retinal haemorrhage and fibrosis, macular oedema and Hollenhorst plaque were easier to identify on colour photographs. The value of FAF imaging as a complementary technique to colour fundus imaging in detecting diabetic retinopathy during ocular screening warrants further investigation.
Details
- Title: Subtitle
- Fundus autofluorescence and colour fundus imaging compared during telemedicine screening in patients with diabetes
- Creators
- Anton M Kolomeyer - Institute of Ophthalmology and Visual Science, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USABenjamin R BaumrindBernard C SzirthKhadija Shahid - University of Iowa, Ophthalmology and Visual SciencesAlbert S Khouri
- Resource Type
- Journal article
- Publication Details
- Journal of telemedicine and telecare, Vol.19(4), pp.209-212
- Publisher
- England
- DOI
- 10.1177/1357633x13492292
- PMID
- 24163061
- ISSN
- 1357-633X
- eISSN
- 1758-1109
- Language
- English
- Date published
- 06/2013
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9983980298702771
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