Research Article

Assessment of non-mydriatic fundus photography in detection of diabetic retinopathy.

Br Med J (Clin Res Ed) 1986; 293 doi: https://doi.org/10.1136/bmj.293.6555.1140 (Published 01 November 1986) Cite this as: Br Med J (Clin Res Ed) 1986;293:1140
  1. R Williams,
  2. S Nussey,
  3. R Humphry,
  4. G Thompson

    Abstract

    Non-mydriatic retinal photography with later interpretation of the photographs was assessed as a screening method for the detection of diabetic retinopathy; when compared with an ophthalmologist's clinical assessment in a random group of 62 diabetic patients it was accurate (false negative 6.8%, false positive 2%) and sensitive (sensitivity 96%, specificity 98%). The assessment of further management required based on analysis of the photographs was 96.5% in agreement with the further management suggested by the ophthalmologist after direct clinical assessment of the patient. If this technique were used to screen patients in a typical diabetic clinic the predicted positive accuracy rate would be 84% and the predicted negative accuracy rate 99.5%.