Comparison between ultra-widefield pseudocolor imaging and indirect ophthalmoscopy in the detection of peripheral retinal lesions

Giovanni Fogliato, Enrico Borrelli, Lorenzo Iuliano, Andrea Ramoni, Lea Querques, Alessandro Rabiolo, Francesco Bandello, Giuseppe Querques

Research output: Contribution to journalArticle

Abstract

BACKGROUND AND OBJECTIVE: To systematically compare the intermodality and inter-rater agreement for indirect ophthalmoscopy and ultra-widefield (UWF) imaging in detecting peripheral retinal lesions predisposing to retinal rhegmatogenous detachment. PATIENTS AND METHODS: In this prospective, observational, cross-sectional study, patients with a previous diagnosis of peripheral retinal lesions were enrolled. UWF pseudocolor imaging and dilated fundus examination were obtained. RESULTS: Thirty-seven eyes (20 patients, 12 females) were enrolled. The level of inter-rater agreement was excellent in both the ophthalmoscopy-based and UWF-based assessment. The overall agreement in the UWF-based assessment was found to be Kappa = 0.874 (P < .0001). The UWF-based evaluation was demonstrated to have a sensitivity of 89.2% in detecting peripheral retinal lesions. In the sectorial analysis, the UWF-based reading had a lower sensitivity in the inferior sector. CONCLUSION: The identification of peripheral retinal lesions with UWF imaging allowed for an accurate and reproducible assessment.

Original languageEnglish
Pages (from-to)544-549
Number of pages6
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume50
Issue number9
DOIs
Publication statusPublished - Jan 1 2019

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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