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Clinical Ophthalmology Volume 17, 2023 - Issue
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ORIGINAL RESEARCH

Ultra-Widefield Imaging as a Teleophthalmology Screening Tool for Ocular Pathology

Tessnim R Ahmad1 Department of Ophthalmology, University of California, San Francisco, CA, USAORCID Iconhttps://orcid.org/0000-0001-9525-9645View further author information
ORCID Icon,
Winnie A Situ2 Department of Ophthalmology, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USAView further author information
,
Nicholas T Chan2 Department of Ophthalmology, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USAView further author information
,
Jeremy D Keenan1 Department of Ophthalmology, University of California, San Francisco, CA, USA;3 Francis I. Proctor Foundation, University of California, San Francisco, CA, USAView further author information
&
Jay M Stewart1 Department of Ophthalmology, University of California, San Francisco, CA, USA;2 Department of Ophthalmology, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USACorrespondence[email protected]
View further author information
Pages 3225-3234 | Received 04 Aug 2023, Accepted 09 Oct 2023, Published online: 30 Oct 2023

Figures & data

Figure 1 Sample montage composed of four ultra-widefield fundoscopic images.

Figure 1 Sample montage composed of four ultra-widefield fundoscopic images.

Table 1 Montage Quality Ratings by Junior and Senior Interpreters

Figure 2 Flow chart showing derivation of the final study sample.

Figure 2 Flow chart showing derivation of the final study sample.

Table 2 Final Qualitative Codebook of Fundus Findings by Anatomic Category

Figure 3 Eye-level frequencies of 16 clinically meaningful fundus findings detected by clinical examination versus ultra-widefield image interpretation.

Figure 3 Eye-level frequencies of 16 clinically meaningful fundus findings detected by clinical examination versus ultra-widefield image interpretation.

Table 3 Eye-Level Inter-Interpreter Agreement for 16 Clinically Meaningful Fundus Findings

Table 4 Eye-Level Agreement for 16 Clinically Meaningful Fundus Findings Between Clinical Examination versus Ultra-Widefield Image Consensus Interpretation

Figure 4 Venn diagrams depicting patient-level agreement for 16 clinically meaningful fundus findings, clinical examination versus ultra-widefield image interpretation.

Figure 4 Venn diagrams depicting patient-level agreement for 16 clinically meaningful fundus findings, clinical examination versus ultra-widefield image interpretation.

Table 5 Eye-Level Agreement Between Montages and Individual Ultra-Widefield Images for 16 Clinically Meaningful Fundus Findings in a Subset of Eyes

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