Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdown

Aims: This study aims to evaluate the non-mydriatic fundus image quality obtained with a confocal fundus device. Also, to evaluate the influence of non-mydriatic pupil size on image quality. Settings and Design: A cross-sectional study was conducted in the outpatient department of a high-volume tert...

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Main Authors: Prasanna Venkatesh Ramesh, Shruthy Vaishali Ramesh, Anugraha Balamurugan, Sheik Mohamed Ansar, Aji Kunnath Devadas, Meena Kumari Ramesh, Ramesh Rajasekaran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Kerala Journal of Ophthalmology
Subjects:
Online Access:http://www.kjophthal.com/article.asp?issn=0976-6677;year=2022;volume=34;issue=3;spage=216;epage=226;aulast=Ramesh
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author Prasanna Venkatesh Ramesh
Shruthy Vaishali Ramesh
Anugraha Balamurugan
Sheik Mohamed Ansar
Aji Kunnath Devadas
Meena Kumari Ramesh
Ramesh Rajasekaran
author_facet Prasanna Venkatesh Ramesh
Shruthy Vaishali Ramesh
Anugraha Balamurugan
Sheik Mohamed Ansar
Aji Kunnath Devadas
Meena Kumari Ramesh
Ramesh Rajasekaran
author_sort Prasanna Venkatesh Ramesh
collection DOAJ
description Aims: This study aims to evaluate the non-mydriatic fundus image quality obtained with a confocal fundus device. Also, to evaluate the influence of non-mydriatic pupil size on image quality. Settings and Design: A cross-sectional study was conducted in the outpatient department of a high-volume tertiary eye care centre in South India during the third phase of the COVID-19 lockdown. Subjects and Methods: 831 consenting, consecutive patients (1539 eyes) were photographed from May 5 to May 17, 2020, and were graded excellent, fair, adequate, or inadequate; based on white noise, black noise, and image acquisition signals. Pupil diameters were obtained with light-emitting diode flash technology. Statistical Analysis: The collected data were analyzed using SPSS software. Descriptive statistics in the form of frequencies and percentages were calculated. Simple (univariate) linear regression analysis and adjusted regression analysis were used to establish the relationship between pupil size and fundus photo quality. Results: The quality of the fundus photo was excellent in 70.12% (n = 1079), fair in 15.72% (n = 242), adequate in 5.78% (n = 89), and inadequate in 8.38% (n = 129). Of the 1410 obtained images (subtracting the inadequate quality images), 87.66% (n = 1236) were normal and 12.34% (n = 174) were pathological. There was a positive linear relationship between pupil size and quality of retinal photograph; OS (R2 = 0.935) had a slightly better association than OD (R2 = 0.901). Conclusions: The majority of the confocal images were excellent in quality. Our four-point grading system serves as a reliable measure of non-mydriatic photograph quality. Pupil size is a significant predictor of image quality for non-mydriatic photographs in surveillance programs.
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spelling doaj.art-86a0f13e512743a7a91a63e263a56c9a2023-01-12T13:28:01ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772022-01-0134321622610.4103/kjo.kjo_58_21Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdownPrasanna Venkatesh RameshShruthy Vaishali RameshAnugraha BalamuruganSheik Mohamed AnsarAji Kunnath DevadasMeena Kumari RameshRamesh RajasekaranAims: This study aims to evaluate the non-mydriatic fundus image quality obtained with a confocal fundus device. Also, to evaluate the influence of non-mydriatic pupil size on image quality. Settings and Design: A cross-sectional study was conducted in the outpatient department of a high-volume tertiary eye care centre in South India during the third phase of the COVID-19 lockdown. Subjects and Methods: 831 consenting, consecutive patients (1539 eyes) were photographed from May 5 to May 17, 2020, and were graded excellent, fair, adequate, or inadequate; based on white noise, black noise, and image acquisition signals. Pupil diameters were obtained with light-emitting diode flash technology. Statistical Analysis: The collected data were analyzed using SPSS software. Descriptive statistics in the form of frequencies and percentages were calculated. Simple (univariate) linear regression analysis and adjusted regression analysis were used to establish the relationship between pupil size and fundus photo quality. Results: The quality of the fundus photo was excellent in 70.12% (n = 1079), fair in 15.72% (n = 242), adequate in 5.78% (n = 89), and inadequate in 8.38% (n = 129). Of the 1410 obtained images (subtracting the inadequate quality images), 87.66% (n = 1236) were normal and 12.34% (n = 174) were pathological. There was a positive linear relationship between pupil size and quality of retinal photograph; OS (R2 = 0.935) had a slightly better association than OD (R2 = 0.901). Conclusions: The majority of the confocal images were excellent in quality. Our four-point grading system serves as a reliable measure of non-mydriatic photograph quality. Pupil size is a significant predictor of image quality for non-mydriatic photographs in surveillance programs.http://www.kjophthal.com/article.asp?issn=0976-6677;year=2022;volume=34;issue=3;spage=216;epage=226;aulast=Rameshconfocal fundus scanningfundus imaging qualitynon-mydriatic imagespupil size
spellingShingle Prasanna Venkatesh Ramesh
Shruthy Vaishali Ramesh
Anugraha Balamurugan
Sheik Mohamed Ansar
Aji Kunnath Devadas
Meena Kumari Ramesh
Ramesh Rajasekaran
Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdown
Kerala Journal of Ophthalmology
confocal fundus scanning
fundus imaging quality
non-mydriatic images
pupil size
title Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdown
title_full Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdown
title_fullStr Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdown
title_full_unstemmed Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdown
title_short Evaluation of quality of non-mydriatic fundus images obtained with non-contact TrueColor, confocal scanner during third phase of nationwide lockdown
title_sort evaluation of quality of non mydriatic fundus images obtained with non contact truecolor confocal scanner during third phase of nationwide lockdown
topic confocal fundus scanning
fundus imaging quality
non-mydriatic images
pupil size
url http://www.kjophthal.com/article.asp?issn=0976-6677;year=2022;volume=34;issue=3;spage=216;epage=226;aulast=Ramesh
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