Clinical agreement among glaucoma experts in the detection of glaucomatous changes of the optic disk using simultaneous stereoscopic photographs

被引：87

作者：

Azuara-Blanco, A ^{[1
]}

Katz, LJ

Spaeth, GL

Vernon, SA

Spencer, F

Lanzl, IM

机构：

[1] Univ Aberdeen, Dept Ophthalmol, Eye Clin, Aberdeen Royal Infirm, Aberdeen AB25 2ZN, Scotland

[2] Tech Univ Munich, Augenklin, D-8000 Munich, Germany

[3] Manchester Royal Eye Hosp, Manchester M13 9WH, Lancs, England

[4] Queens Med Ctr, Nottingham NG7 2UH, England

[5] Thomas Jefferson Univ, Wills Eye Hosp, Glaucoma Serv, Philadelphia, PA 19107 USA

来源：

AMERICAN JOURNAL OF OPHTHALMOLOGY | 2003年 / 136卷 / 05期

关键词：

D O I：

10.1016/S0002-9394(03)00480-X

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

PURPOSE: To evaluate the clinical agreement in the detection of optic disk changes in patients with glaucoma using simultaneous stereophotographs. DESIGN: Masked-observer variability study. METHODS: Ten glaucoma specialists examined pairs of simultaneous stereophotographs of glaucomatous and control optic disks to determine whether there were changes compatible with progression of glaucomatous damage. RESULTS: Intraobserver agreement had a kappa value ranging from 0.55 to 0.78. Interobserver agreement among the glaucoma specialists had a kappa value ranging from 0.34 to 0.68. CONCLUSION: Clinical examination of stereophotographs to detect optic disk changes in glaucoma patients has limitations associated with suboptimal reproducibility.

引用

页码：949 / 950

页数：2

共 7 条

[1]

Boes DA, 1996, J GLAUCOMA, V5, P9

[2] Comparison of methods to evaluate the optic nerve head and nerve fiber layer for glaucomatous change [J].

Caprioli, J ;

Prum, B ;

Zeyen, T .

AMERICAN JOURNAL OF OPHTHALMOLOGY, 1996, 121 (06) :659-667

[3]

Coleman AL, 1996, J GLAUCOMA, V5, P384

[4] MEASUREMENT OF OBSERVER AGREEMENT FOR CATEGORICAL DATA [J].

LANDIS, JR ;

KOCH, GG .

BIOMETRICS, 1977, 33 (01) :159-174

[5] Reproducibility of evaluation of optic disc change for glaucoma with stereo optic disc photographs [J].

Miglior, S ;

Zeyen, T ;

Pfeiffer, N ;

Cunha-Vaz, J ;

Linsen, MC ;

Pellicci, L ;

Janssens, A ;

van der Veken, A ;

Nerinckx, F ;

Boeyden, V ;

Czupper, M ;

Wendrix, G ;

Detry-Morel, M ;

Kestelyn, P ;

Van den Abeele, K ;

Jacobs, K ;

Decock, C ;

Goethals, M ;

Pourjavan, S ;

Maris, K ;

Deghislage, C ;

Kersten, I ;

Vogel, A ;

Herkel, U ;

Schwenn, O ;

Maser-Wahle, M ;

Funk, J ;

Schmidt, B ;

Akbariyeh, N ;

Burk, R ;

Thomsen, A ;

Grehn, F ;

Marquardt, D ;

Orzalesi, N ;

Rossetti, L ;

Ferrante, M ;

Mandelli, L ;

Marini, S ;

Bertoni, G ;

Blini, M ;

De Molfetta, M ;

Bonomi, L ;

Morbio, R ;

Marraffa, M ;

Maraini, G ;

Gandolfi, S ;

Williams, S ;

Cimino, L ;

Dondi, P ;

Lumbroso, B .

OPHTHALMOLOGY, 2003, 110 (02) :340-344

[6] OPTIC DISK PARAMETERS AND ONSET OF GLAUCOMATOUS FIELD LOSS .1. METHODS AND PROGRESSIVE CHANGES IN DISK MORPHOLOGY [J].

SOMMER, A ;

POLLACK, I ;

MAUMENEE, AE .

ARCHIVES OF OPHTHALMOLOGY, 1979, 97 (08) :1444-1448

[7] Identifying early glaucomatous changes -: Comparison between expert clinical assessment of optic disc photographs and confocal scanning ophthalmoscopy [J].

Wollstein, G ;

Garway-Heath, DF ;

Fontana, L ;

Hitchings, RA .

OPHTHALMOLOGY, 2000, 107 (12) :2272-2277

← 1 →