Study of Diagnostic Accuracy: Fundus Photography vs. Optical Coherence Tomography

(1) Background: This study aimed to determine the diagnostic accuracy that optical coherence tomography (OCT) can add to fundus photography (FP) in assessing the condition of the retinal posterior pole. (2) Methods: We conducted two blocks of analysis: First, the posterior pole of each eye was exami...

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Published inApplied sciences Vol. 14; no. 12; p. 5314
Main Authors Moriche Carretero, Manuel, Sánchez Parejo, Ana de los Reyes, Martínez Pérez, Clara, Revilla Amores, Remedios, Pérez Gómez, Ángel, Biarnés Pérez, Marc
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.06.2024
Subjects
Accuracy
Age
Blindness
Consent
Diabetes
Diabetic retinopathy
Eye examinations
fundus photography
Glaucoma
Macular degeneration
Medical personnel
optical coherence tomography
Optics
Optometrists
Optometry
Patient compliance
Performance evaluation
retina
Tomography
Visual acuity
Visual impairment
Spain
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Summary:(1) Background: This study aimed to determine the diagnostic accuracy that optical coherence tomography (OCT) can add to fundus photography (FP) in assessing the condition of the retinal posterior pole. (2) Methods: We conducted two blocks of analysis: First, the posterior pole of each eye was examined using an FP non-mydriatic imaging device. Second, OCT was used in addition to FP. After consolidating the specific diagnostic criteria, the assessments were evaluated using two blinded independent investigation groups (by optometrists, and by ophthalmologists who were considered the gold standard). (3) Results: We calculated the diagnostic accuracy of FP compared to OCT and found that they had similar sensitivity. FP had a slightly higher specificity (p-value: 0.01), and OCT had a higher kappa coefficient with 0.50 (95% CI: 0.46–0.55) vs. 0.39 (95% CI: 0.34–0.45) for FP. (4) Conclusions: On the basis that the role of the optometrist in Spain is not to diagnose but to detect lesions and refer patients to an ophthalmologist, the results of this study support the use of OCT, which provided gradable images in almost all examined eyes (97.5%), compared to FP (73.5%). However, optometrists need a detailed and standardized guide in order to conduct evaluations according to the ophthalmologist’s criteria.
ISSN:2076-3417
2076-3417
DOI:10.3390/app14125314