免散瞳眼底照相仪在糖尿病视网膜病变社区防治中临床疗效评价

Evaluation of Clinical Efficacy of Non-Mydriatic Fundus Camera in the Prevention and Treatment of Diabetic Retinopathy in Community

目的:探索免散瞳眼底照相仪在糖尿病视网膜病变社区防治中临床疗效。方法:本次研究对象为100例疑似糖尿病视网膜病变患者,均进行免散瞳眼底照相仪检查,随访分析此项检查在视网膜病变分期中正确率以及图像质量。结果:免散瞳眼底照相仪图像质量可以评估的有78.05%,对视网膜病变Ⅰ期诊断正确率为96.00%,对Ⅱ期诊断正确率为95.83%,对Ⅲ期诊断正确率为94.74%,对Ⅳ期诊断正确率为94.44%。同时对糖尿病视网膜病变敏感度为95.35%,特异度为92.86%,漏诊率为4.65%,误诊率为7.14%。结论:在评估糖尿病视网膜病变患者时,运用免散瞳眼底照相仪检查,可及时发现眼底病变,为后期随访提供详细参考信息。

Objective:To explore the clinical efficacy of non-mydriatic fundus camera in the prevention and treatment of diabetic retinopathy in the community.Methods:The subjects of this study were 100 patients with suspected diabetic retinopathy,all of whom were examined by a non-mydriatic fundus camera.Follow-up analysis of the accuracy and image quality of this examination in the staging of retinopathy.Results:The image quality of the non-mydriatic fundus camera can be evaluated by 78.05%.The correct rate of diagnosis for stage I of retinopathy is 96.00%,the correct rate for diagnosis of stageⅡis 95.83%,and the correct rate for diagnosis of stageⅢis 94.74%.The correct rate of stageⅣdiagnosis was 94.44%.At the same time,the sensitivity to diabetic retinopathy was 95.35%,the specificity was 92.86%,the missed diagnosis rate was 4.65%,and the misdiagnosis rate was 7.14%.Conclusion:When evaluating patients with diabetic retinopathy,the use of a non-mydriatic fundus camera can detect fundus lesions in time and provide detailed reference information for later follow-up.