Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Retina. 2020 Jul;40(7):1412-1418. doi: 10.1097/IAE.0000000000002595.
To assess the ability of the multicolor scanning laser ophthalmoscope (MC-SLO) to screen for epiretinal membranes (ERMs).
A retrospective cross-sectional study of 35 eyes of 32 patients with an ERM detected by optical coherence tomography and 46 eyes of 23 healthy volunteers. The detection of the ERM was graded into three visibility scores-1, not visible, 2, barely visible, and 3, clearly visible-by retina specialists or by ophthalmology residents. The sensitivity and specificity of the detection with the merged image of the MC-SLO or color fundus photographs (CFPs) were calculated.
The sensitivity for ERM detection in the MC-SLO and CFP were 91.4% and 65.7% by specialists and 97.1% and 60.0% by residents. The specificity for both devices was 100% by specialists and residents. The visibility score for the MC-SLO images were significantly higher than that for the CFP by both specialists and residents. In addition, the visibility score for the MC-SLO determined by residents was significantly higher than that for the CFP by specialists.
The detection of an ERM is better with the MC-SLO images than with CFP. Furthermore, the ERM detection in the MC-SLO images by residents was comparable to that by specialists.
评估多色扫描激光检眼镜（MC-SLO）筛查视网膜前膜（ERM）的能力。
对经光学相干断层扫描（OCT）发现的 32 例 35 只眼 ERM 患者和 23 名健康志愿者的 46 只眼进行回顾性横断面研究。由视网膜专家或眼科住院医师将 ERM 的检出情况分为 3 个可见度评分：1 分，不可见；2 分，勉强可见；3 分，清晰可见。计算 MC-SLO 或彩色眼底照相（CFP）融合图像检测的敏感性和特异性。
专家使用 MC-SLO 和 CFP 检测 ERM 的敏感性分别为 91.4%和 65.7%，住院医师的敏感性分别为 97.1%和 60.0%。两种设备的特异性在专家和住院医师中均为 100%。专家和住院医师均认为 MC-SLO 图像的可视评分明显高于 CFP。此外，住院医师确定的 MC-SLO 图像的可视评分明显高于专家确定的 CFP 图像的可视评分。
MC-SLO 图像检测 ERM 优于 CFP。此外，住院医师在 MC-SLO 图像上检测 ERM 的能力与专家相当。
