Evaluation of a self-imaging SD-OCT system designed for remote home monitoring

Abstract Purpose To compare identification rates of retinal fluid of the Notal Vision Home Optical Coherence Tomography (OCT) device (NVHO) when used by people with age-related macular degeneration (AMD) to those captured by a commercial OCT. Methods Prospective, cross-sectional study where patients...

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Main Authors: Judy E. Kim, Oren Tomkins-Netzer, Michael J. Elman, David R. Lally, Michaella Goldstein, Dafna Goldenberg, Shiri Shulman, Gidi Benyamini, Anat Loewenstein
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-022-02458-z
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author Judy E. Kim
Oren Tomkins-Netzer
Michael J. Elman
David R. Lally
Michaella Goldstein
Dafna Goldenberg
Shiri Shulman
Gidi Benyamini
Anat Loewenstein
author_facet Judy E. Kim
Oren Tomkins-Netzer
Michael J. Elman
David R. Lally
Michaella Goldstein
Dafna Goldenberg
Shiri Shulman
Gidi Benyamini
Anat Loewenstein
author_sort Judy E. Kim
collection DOAJ
description Abstract Purpose To compare identification rates of retinal fluid of the Notal Vision Home Optical Coherence Tomography (OCT) device (NVHO) when used by people with age-related macular degeneration (AMD) to those captured by a commercial OCT. Methods Prospective, cross-sectional study where patients underwent commercial OCT imaging followed by self-imaging with either the NVHO 2.5 or the NVHO 3 in clinic setting. Outcomes included patients’ ability to acquire analyzable OCT images with the NVHO and to compare those with commercial images. Results Successful images were acquired with the NVHO 2.5 in 469/531 eyes (88%) in 264/290 subjects (91%) with the mean (SD) age of 78.8 (8.8); 153 (58%) were female with median visual acuity (VA) of 20/40. In the NVHO 3 cohort, 69 eyes of 45 subjects (93%) completed the self-imaging. Higher rates of successful imaging were found in eyes with VA ≥ 20/320. Positive percent agreement/negative percent agreement for detecting the presence of subretinal and/or intraretinal fluid when reviewing for fluid in three repeated volume scans were 97%/95%, respectively for the NVHO v3. Conclusion Self-testing with the NVHO can produce high quality images suitable for fluid identification by human graders, suggesting the device may be able to complement standard-of-care clinical assessments and treatments.
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spelling doaj.art-34a1ee3d683743a8a9258a1c6436123f2022-12-22T00:18:45ZengBMCBMC Ophthalmology1471-24152022-06-0122111310.1186/s12886-022-02458-zEvaluation of a self-imaging SD-OCT system designed for remote home monitoringJudy E. Kim0Oren Tomkins-Netzer1Michael J. Elman2David R. Lally3Michaella Goldstein4Dafna Goldenberg5Shiri Shulman6Gidi Benyamini7Anat Loewenstein8The Eye Institute, Medical College of WisconsinDepartment of Ophthalmology, Lady Davis Carmel Medical Center, Ruth and Bruce Rappaport Faculty of MedicineElman Retina Group PARetina Research Institute at New England Retina ConsultantsTel Aviv Medical CenterAssuta Medical CentersAssuta Medical CentersNotal VisionTel Aviv Medical CenterAbstract Purpose To compare identification rates of retinal fluid of the Notal Vision Home Optical Coherence Tomography (OCT) device (NVHO) when used by people with age-related macular degeneration (AMD) to those captured by a commercial OCT. Methods Prospective, cross-sectional study where patients underwent commercial OCT imaging followed by self-imaging with either the NVHO 2.5 or the NVHO 3 in clinic setting. Outcomes included patients’ ability to acquire analyzable OCT images with the NVHO and to compare those with commercial images. Results Successful images were acquired with the NVHO 2.5 in 469/531 eyes (88%) in 264/290 subjects (91%) with the mean (SD) age of 78.8 (8.8); 153 (58%) were female with median visual acuity (VA) of 20/40. In the NVHO 3 cohort, 69 eyes of 45 subjects (93%) completed the self-imaging. Higher rates of successful imaging were found in eyes with VA ≥ 20/320. Positive percent agreement/negative percent agreement for detecting the presence of subretinal and/or intraretinal fluid when reviewing for fluid in three repeated volume scans were 97%/95%, respectively for the NVHO v3. Conclusion Self-testing with the NVHO can produce high quality images suitable for fluid identification by human graders, suggesting the device may be able to complement standard-of-care clinical assessments and treatments.https://doi.org/10.1186/s12886-022-02458-zAge-related macular degenerationHOME OCTHome monitoring
spellingShingle Judy E. Kim
Oren Tomkins-Netzer
Michael J. Elman
David R. Lally
Michaella Goldstein
Dafna Goldenberg
Shiri Shulman
Gidi Benyamini
Anat Loewenstein
Evaluation of a self-imaging SD-OCT system designed for remote home monitoring
BMC Ophthalmology
Age-related macular degeneration
HOME OCT
Home monitoring
title Evaluation of a self-imaging SD-OCT system designed for remote home monitoring
title_full Evaluation of a self-imaging SD-OCT system designed for remote home monitoring
title_fullStr Evaluation of a self-imaging SD-OCT system designed for remote home monitoring
title_full_unstemmed Evaluation of a self-imaging SD-OCT system designed for remote home monitoring
title_short Evaluation of a self-imaging SD-OCT system designed for remote home monitoring
title_sort evaluation of a self imaging sd oct system designed for remote home monitoring
topic Age-related macular degeneration
HOME OCT
Home monitoring
url https://doi.org/10.1186/s12886-022-02458-z
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