Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting
The aim of the study was to validate the performance of the Optomed Aurora<sup>®</sup> handheld fundus camera in diabetic retinopathy (DR) screening. Patients who were affected by diabetes mellitus and referred to the local DR screening service underwent fundus photography using a standa...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/9/2352 |
| _version_ | 1797504318163648512 |
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| author | Edoardo Midena Luca Zennaro Cristian Lapo Tommaso Torresin Giulia Midena Elisabetta Pilotto Luisa Frizziero |
| author_facet | Edoardo Midena Luca Zennaro Cristian Lapo Tommaso Torresin Giulia Midena Elisabetta Pilotto Luisa Frizziero |
| author_sort | Edoardo Midena |
| collection | DOAJ |
| description | The aim of the study was to validate the performance of the Optomed Aurora<sup>®</sup> handheld fundus camera in diabetic retinopathy (DR) screening. Patients who were affected by diabetes mellitus and referred to the local DR screening service underwent fundus photography using a standard table-top fundus camera and the Optomed Aurora<sup>®</sup> handheld fundus camera. All photos were taken by a single, previously unexperienced operator. Among 423 enrolled eyes, we found a prevalence of 3.55% and 3.31% referable cases with the Aurora<sup>®</sup> and with the standard table-top fundus camera, respectively. The Aurora<sup>®</sup> obtained a sensitivity of 96.9% and a specificity of 94.8% in recognizing the presence of any degree of DR, a sensitivity of 100% and a specificity of 99.8% for any degree of diabetic maculopathy (DM) and a sensitivity of 100% and specificity of 99.8% for referable cases. The overall concordance coefficient k (95% CI) was 0.889 (0.828–0.949) and 0.831 (0.658–1.004) with linear weighting for DR and DM, respectively. The presence of hypertensive retinopathy (HR) was recognized by the Aurora<sup>®</sup> with a sensitivity and specificity of 100%. The Optomed Aurora<sup>®</sup> handheld fundus camera proved to be effective in recognizing referable cases in a real-life DR screening setting. It showed comparable results to a standard table-top fundus camera in DR, DM and HR detection and grading. The Aurora<sup>®</sup> can be integrated into telemedicine solutions and artificial intelligence services which, in addition to its portability and ease of use, make it particularly suitable for DR screening. |
| first_indexed | 2024-03-10T04:02:55Z |
| format | Article |
| id | doaj.art-f16bf2a5788b4e1b9dce816b52292aa5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T04:02:55Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f16bf2a5788b4e1b9dce816b52292aa52023-11-23T08:31:06ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01119235210.3390/jcm11092352Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life SettingEdoardo Midena0Luca Zennaro1Cristian Lapo2Tommaso Torresin3Giulia Midena4Elisabetta Pilotto5Luisa Frizziero6Department of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, ItalyDepartment of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, ItalyDepartment of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, ItalyDepartment of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, ItalyIRCCS—Fondazione Bietti, 00198 Rome, ItalyDepartment of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, ItalyDepartment of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, ItalyThe aim of the study was to validate the performance of the Optomed Aurora<sup>®</sup> handheld fundus camera in diabetic retinopathy (DR) screening. Patients who were affected by diabetes mellitus and referred to the local DR screening service underwent fundus photography using a standard table-top fundus camera and the Optomed Aurora<sup>®</sup> handheld fundus camera. All photos were taken by a single, previously unexperienced operator. Among 423 enrolled eyes, we found a prevalence of 3.55% and 3.31% referable cases with the Aurora<sup>®</sup> and with the standard table-top fundus camera, respectively. The Aurora<sup>®</sup> obtained a sensitivity of 96.9% and a specificity of 94.8% in recognizing the presence of any degree of DR, a sensitivity of 100% and a specificity of 99.8% for any degree of diabetic maculopathy (DM) and a sensitivity of 100% and specificity of 99.8% for referable cases. The overall concordance coefficient k (95% CI) was 0.889 (0.828–0.949) and 0.831 (0.658–1.004) with linear weighting for DR and DM, respectively. The presence of hypertensive retinopathy (HR) was recognized by the Aurora<sup>®</sup> with a sensitivity and specificity of 100%. The Optomed Aurora<sup>®</sup> handheld fundus camera proved to be effective in recognizing referable cases in a real-life DR screening setting. It showed comparable results to a standard table-top fundus camera in DR, DM and HR detection and grading. The Aurora<sup>®</sup> can be integrated into telemedicine solutions and artificial intelligence services which, in addition to its portability and ease of use, make it particularly suitable for DR screening.https://www.mdpi.com/2077-0383/11/9/2352diabetic retinopathyscreeningfundus photographyhandheld fundus cameradiabetic maculopathyhypertensive retinopathy |
| spellingShingle | Edoardo Midena Luca Zennaro Cristian Lapo Tommaso Torresin Giulia Midena Elisabetta Pilotto Luisa Frizziero Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting Journal of Clinical Medicine diabetic retinopathy screening fundus photography handheld fundus camera diabetic maculopathy hypertensive retinopathy |
| title | Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting |
| title_full | Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting |
| title_fullStr | Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting |
| title_full_unstemmed | Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting |
| title_short | Handheld Fundus Camera for Diabetic Retinopathy Screening: A Comparison Study with Table-Top Fundus Camera in Real-Life Setting |
| title_sort | handheld fundus camera for diabetic retinopathy screening a comparison study with table top fundus camera in real life setting |
| topic | diabetic retinopathy screening fundus photography handheld fundus camera diabetic maculopathy hypertensive retinopathy |
| url | https://www.mdpi.com/2077-0383/11/9/2352 |
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