Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
+44 1223 790975
ISSN: 2155-9570
+44 1223 790975
Gaurav Mathur, Deependra V Singh, Mohit Jain, Lakshmi Kuniyal and Davinder Tyagi
Eye Q Super Specialty Eye Hospitals,India
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Five low cost fundus imaging cameras (FORUS, Forus Health Pvt. Ltd, Bangalore India) were installed at 5 hospitals of an eye care organization. Robust training workshops for standardization were conducted for 2 Optometrists and 4 Retinologists involved in capturing and reporting these images. In this prospective study, all new patients (above 30 years of age) visiting these centers during 3 months period were offered fundus imaging as a part of comprehensive checkup. All images were uploaded to cloud for reporting by Retinologists. The Fundus Images were graded as gradable/non-gradable and further analyzed for the abnormalities in macula and/or disc. The structured reports were recorded in excel sheet and analyzed. Total 3356 eyes of 1678 patients underwent Fundus Imaging during 3 months period. Out of 2996 eyes (89.27%) that were gradable, 265 eyes (8.85%) were found to have macular diseases. While AMD detected in 125 eyes (4.17%) was most common macular disease, Diabetic Retinopathy was found in 110 (3.67%) eyes. Choroiditis and Retinal vein occlusion were other common diseases detected. 5 Optometrists from 5 study centers were trained for Reading Fundus images. All patients (>30 years) during 3 months period underwent Tele-screening. In another subset of study images uploaded for reporting were graded and analyzed for macular diseases by Retinologists and optometrist. Reports were analyzed for agreement.1770 eyes of 920 patients were included. Agreement (Cohen's Kappa) between optometrist and Retinologist was 83.15%. Correct diagnosis by optometrist was 68.16%, False positive and false negatives were 13.59% and 0.82% respectively. Prevalence of Macular Diseases in North Indian population seeking eye care and above 30 years as detected by low cost Fundus Imaging was 8.85%. Almost 88.59% of macular diseases were due to AMD and Diabetic Retinopathy. Tele-screening for macular diseases by trained optometrist is an effective strategy with chances of missing macular disease <1% in Indian rural settings.
Email: gaurav36vaishali@gmail.com