2026-04-18T07:11:24Zhttps://recercat.cat/oai/request

oai:recercat.cat:10230/541852025-12-20T16:42:59Zcom_2072_6col_2072_452952

Diagnostic accuracy and detection rate of glaucoma screening with optic disk photos, optical coherence tomography images, and telemedicine Antón López, Alfonso Nolivos, Karen Pazos López, Marta Fatti, Gianluca Ayala, Miriam Eleonora Martínez-Prats, Elena Peral, Oscar Poposki, Vladimir Tsiroukis, Evangelos Morilla-Grasa, Antonio Comas Serrano, Mercè Castells, Xavier Glaucoma Optical coherence tomography Retinography Screening Telemedicine Purpose: The aim of this study was to evaluate the diagnostic accuracy of optical coherence tomography (OCT) and retinography in the detection of glaucoma through a telemedicine program. Methods: A population-based sample of 4113 persons was randomly selected. The screening examination included a fundus photograph and OCT images. Images were evaluated on a deferred basis. All participants were then invited to a complete glaucoma examination, including gonioscopy, visual field, and dilated fundus examination. The detection rate, sensitivity, specificity, and positive and negative predictive values were calculated. Results: We screened 1006 persons. Of these, 201 (19.9%) were classified as glaucoma suspects; 20.4% were identified only by retinographs, 11.9% only by OCT images, and 46.3% by both. On ophthalmic examination at the hospital (n = 481), confirmed glaucoma was found in 58 (12.1%), probable glaucoma in 76 (15.8%), and ocular hypertension in 10 (2.1%), and no evidence of glaucoma was found in 337 (70.0%). The detection rate for confirmed or probable glaucoma was 9.2%. Sensitivity ranged from 69.4% to 86.2% and specificity from 82.1% to 97.4%, depending on the definition applied. Conclusions: The combination of OCT images and fundus photographs yielded a detection rate of 9.2% in a population-based screening program with moderate sensitivity, high specificity, and predictive values of 84-96%. 2022-09-28T06:15:42Z 2022-09-28T06:15:42Z 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Anton A, Nolivos K, Pazos M, Fatti G, Ayala ME, Martínez-Prats E, Peral O, Poposki V, Tsiroukis E, Morilla-Grasa A, Comas M, Castells X. Diagnostic accuracy and detection rate of glaucoma screening with optic disk photos, optical coherence tomography images, and telemedicine. J Clin Med. 2021 Dec 31;11(1):216. DOI: 10.3390/jcm11010216 2077-0383 http://hdl.handle.net/10230/54185 http://dx.doi.org/10.3390/jcm11010216 eng J Clin Med. 2021 Dec 31;11(1):216 © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf application/pdf MDPI