DR. YASH PARMAR

Dr. RAMESH VENKATESH, Dr. Nikitha Gurram, DR. NARESH KUMAR YADAV

Abstract

Purpose: To analyze clinical retinal examination and undilated Optomap(UO) ultrawide field retinal imaging for detection of proliferative diabetic retinopathy(PDR).

Method: Retrospective cross-sectional study.FA and UO images were labeled by masked observer as PDR or NPDR. Sensitivity and specificity of fundus examination and UO images were calculated against FA images.

Results: FA, UO and clinical diagnosis in medical record were available in 980 (right eye-656;left eye-324) eyes of 496 patients. There were 67% males and 33% females with mean age of 60.3±9.51 years. Sensitivity of clinical examination and UO in accurately identifying PDR was 63.5% and 43.5% respectively while their specificity was 88.5% and 76.2% respectively. On comparing UO against clinical findings, sensitivity and specificity were 47.7% and 75.1% respectively.

Conclusion: Clinical fundus evaluation and UO imaging were inferior to FA in detection of PDR, which hence remains the choice of imaging modality.

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