Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens

Amro Omari,1,2 Momin Samad,3 Saaquib R Bakhsh,1,2 Jahan Tajran,4 George A Williams1,2 1Beaumont Eye Institute, Royal Oak, MI, USA; 2Oakland University William Beaumont School of Medicine, Rochester, MI, USA; 3Michigan State College of Human Medicine, Grand Rapids, MI, USA; 4Wayne State University Sc...

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Main Authors: Omari A, Samad M, Bakhsh SR, Tajran J, Williams GA
Format: Article
Language:English
Published: Dove Medical Press 2022-08-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/accuracy-of-remote-diagnosis-of-acute-posterior-segment-pathology-by-r-peer-reviewed-fulltext-article-OPTH
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author Omari A
Samad M
Bakhsh SR
Tajran J
Williams GA
author_facet Omari A
Samad M
Bakhsh SR
Tajran J
Williams GA
author_sort Omari A
collection DOAJ
description Amro Omari,1,2 Momin Samad,3 Saaquib R Bakhsh,1,2 Jahan Tajran,4 George A Williams1,2 1Beaumont Eye Institute, Royal Oak, MI, USA; 2Oakland University William Beaumont School of Medicine, Rochester, MI, USA; 3Michigan State College of Human Medicine, Grand Rapids, MI, USA; 4Wayne State University School of Medicine, Detroit, MI, USACorrespondence: Amro Omari, Beaumont Eye Institute, 3535 West 13 Mile Road Suite #555, Royal Oak, MI, 48073, USA, Tel +1 248-551-2020, Email Amro.omari@beaumont.orgBackground and Objective: To assess the use of a smartphone-based fundus camera in diagnosing acute posterior segment disease in the emergency room (ER) of an academic center, where standard fundus cameras are currently unavailable.Study Design/Patients and Methods: Images were obtained on 10 eyes with various types of posterior segment pathology. These were analyzed retrospectively by 35 reviewers (21 residents and 14 attending physicians). Accuracy of diagnosis was compared to in-office fundus photography.Results: The average probability of correct diagnosis was over 78%. There was no difference between resident and attending reviewers, except for one of the vitreous hemorrhage cases where residents performed better (p=0.039).Conclusion: Smartphone-based cameras are effective in screening for ocular diseases in the ER of academic centers, where residents and fellows are often the first providers to see various types of vision and life-threatening pathology.Keywords: fundus camera, emergency room, posterior segment, smartphone, retina
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spelling doaj.art-944e0d8948144ae3aa778feda806d7c72022-12-22T03:06:15ZengDove Medical PressClinical Ophthalmology1177-54832022-08-01Volume 162751275777549Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D LensOmari ASamad MBakhsh SRTajran JWilliams GAAmro Omari,1,2 Momin Samad,3 Saaquib R Bakhsh,1,2 Jahan Tajran,4 George A Williams1,2 1Beaumont Eye Institute, Royal Oak, MI, USA; 2Oakland University William Beaumont School of Medicine, Rochester, MI, USA; 3Michigan State College of Human Medicine, Grand Rapids, MI, USA; 4Wayne State University School of Medicine, Detroit, MI, USACorrespondence: Amro Omari, Beaumont Eye Institute, 3535 West 13 Mile Road Suite #555, Royal Oak, MI, 48073, USA, Tel +1 248-551-2020, Email Amro.omari@beaumont.orgBackground and Objective: To assess the use of a smartphone-based fundus camera in diagnosing acute posterior segment disease in the emergency room (ER) of an academic center, where standard fundus cameras are currently unavailable.Study Design/Patients and Methods: Images were obtained on 10 eyes with various types of posterior segment pathology. These were analyzed retrospectively by 35 reviewers (21 residents and 14 attending physicians). Accuracy of diagnosis was compared to in-office fundus photography.Results: The average probability of correct diagnosis was over 78%. There was no difference between resident and attending reviewers, except for one of the vitreous hemorrhage cases where residents performed better (p=0.039).Conclusion: Smartphone-based cameras are effective in screening for ocular diseases in the ER of academic centers, where residents and fellows are often the first providers to see various types of vision and life-threatening pathology.Keywords: fundus camera, emergency room, posterior segment, smartphone, retinahttps://www.dovepress.com/accuracy-of-remote-diagnosis-of-acute-posterior-segment-pathology-by-r-peer-reviewed-fulltext-article-OPTHfundus cameraemergency roomposterior segmentsmartphoneretina.
spellingShingle Omari A
Samad M
Bakhsh SR
Tajran J
Williams GA
Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens
Clinical Ophthalmology
fundus camera
emergency room
posterior segment
smartphone
retina.
title Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens
title_full Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens
title_fullStr Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens
title_full_unstemmed Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens
title_short Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens
title_sort accuracy of remote diagnosis of acute posterior segment pathology by residents and attendings captured with a smartphone and standard 20 28d lens
topic fundus camera
emergency room
posterior segment
smartphone
retina.
url https://www.dovepress.com/accuracy-of-remote-diagnosis-of-acute-posterior-segment-pathology-by-r-peer-reviewed-fulltext-article-OPTH
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