Nonmydriatic ultra-wide-field scanning laser ophthalmoscopy (optomap) versus two-field fundus photography in diabetic retinopathy

Raffael Liegl, Kristine Liegl, Lala Ceklic, Christos Haritoglou, Anselm Kampik, Michael W. Ulbig, Marcus Kernt, Aljoscha S. Neubauer

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

The purpose of this study was to investigate the diagnostic properties of a 2-laser wavelength nonmydriatic 200° ultra-wide-field scanning laser ophthalmoscope (SLO) versus mydriatic 2-field 45° color fundus photography (EURODIAB standard) for assessing diabetic retinopathy (DR). A total of 143 consecutive eyes of patients with different levels of DR were graded regarding DR level and macular edema based on 2-field color photographs or 1 Optomap Panoramic 200 SLO image. All SLO images were nonmydriatic and all photographs mydriatic. Grading was performed masked to patient and clinical data. Based on photography, 20 eyes had no DR, 44 had mild, 18 moderate and 42 severe nonproliferative DR, and 19 eyes had proliferative DR. Overall correlation for grading DR level compared to Optomap SLO was moderate with kappa 0.54 (p < 0.001), fair-to-moderate in macular edema grading with kappa 0.39 (p < 0.001), and substantial for grading clinically significant macular edema (kappa 0.77). The wide-field SLO offers a wider field of view and can potentially better differentiate lesions by applying the 2 laser wavelengths. However, these advantages over 2-field fundus photography need to be confirmed in further studies.

Original languageEnglish
Pages (from-to)31-36
Number of pages6
JournalOphthalmologica
Volume231
Issue number1
DOIs
StatePublished - Dec 2013
Externally publishedYes

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