Vilela Manuel Ap, Valença Felipe M, Barreto Pedro Km, Amaral Carlos Ev, Pellanda Lúcia C
Federal University of Health Sciences of Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil,
Institute of Cardiology, Cardiology University Foundation, Porto Alegre, Rio Grande do Sul, Brazil,
Clin Ophthalmol. 2018 Dec 11;12:2581-2589. doi: 10.2147/OPTH.S182022. eCollection 2018.
Smartphone fundoscopy is a new option for visualizing the ocular fundus but must be validated before being included in population-based examinations. Our aim was to evaluate the quality of fundoscopic images obtained via smartphone and to compare their agreement with retinal camera images or clinical examination.
The database for this study included all observational studies with smartphone fundoscopy that have comparative analyses with the gold standard methods.
Out of 121 potentially relevant studies, nine were included in this analysis, comprising a total of 4,219 eyes. Mean age was 56.6 years (SD±8.5). Combined kappa (κ) agreement statistics were equal to 77.77% (95% CI: 70.34%, 83.70%). No heterogeneity was measured by random effects ( =zero).
Fundoscopic images obtained by using smartphones have substantial agreement with gold standards for clinical or photographic exams.
智能手机眼底镜检查是可视化眼底的一种新方法，但在纳入基于人群的检查之前必须经过验证。我们的目的是评估通过智能手机获得的眼底镜图像的质量，并将其与视网膜相机图像或临床检查结果进行比较。
本研究的数据库包括所有采用智能手机眼底镜检查并与金标准方法进行比较分析的观察性研究。
在121项可能相关的研究中，9项被纳入本分析，共涉及4219只眼睛。平均年龄为56.6岁（标准差±8.5）。联合kappa（κ）一致性统计等于77.77%（95%可信区间：70.34%，83.70%）。随机效应未检测到异质性（=零）。
使用智能手机获得的眼底镜图像与临床或摄影检查的金标准有高度一致性。
