St Pauls Eye Unit, Royal Liverpool University Hospital, Liverpool, UK.
Ophthalmic Physiol Opt. 2011 Nov;31(6):574-9. doi: 10.1111/j.1475-1313.2011.00830.x. Epub 2011 Mar 29.
To assess the validity of an online referral guide for melanocytic fund us lesions available to optometrists.
A prospective inter-observer agreement assessment of a novel grading system for melanocytic fundus lesions using digital images from the Liverpool Ocular Oncology Centre.
The study was completed by 94.5% (52/55) of optometrists recruited. A total of 2594 valid grading scores were obtained for 400 different melanocytic lesions which were assigned to three management categories (monitor, routine referral or urgent referral). The linear weighted kappa value between the optometrists and the ocular oncologist was 0.66 (95% CI 0.64-0.68). Optometrist inter-observer agreement was 0.62 (95%CI 0.57-0.67).
This online referral guide for melanocytic lesions shows substantial agreement between optometrists and a gold standard opinion. It is easily accessible and could be helpful to community optometrists managing patients with a melanocytic fundus lesion.
评估一款可供验光师使用的在线黑素细胞性眼底病变转诊指南的有效性。
采用来自利物浦眼肿瘤中心的数字图像，对一种新型黑素细胞性眼底病变分级系统进行前瞻性观察者间一致性评估。
招募的 55 名验光师中，94.5%（52/55）完成了研究。共获得 400 种不同黑素细胞病变的 2594 份有效分级评分，并将其分为 3 种管理类别（监测、常规转诊或紧急转诊）。验光师与眼肿瘤科医生之间的线性加权 kappa 值为 0.66（95%CI 0.64-0.68）。验光师间观察者间一致性为 0.62（95%CI 0.57-0.67）。
这款在线黑素细胞病变转诊指南显示，验光师与金标准意见之间具有显著一致性。它易于获取，可能有助于社区验光师管理患有黑素细胞性眼底病变的患者。
