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  • Title: Clinical biomicroscopy versus fluorescein angiography: effectiveness and sensitivity in detecting diabetic retinopathy.
    Author: Khalaf SS, Al-Bdour MD, Al-Till MI.
    Journal: Eur J Ophthalmol; 2007; 17(1):84-8. PubMed ID: 17294387.
    Abstract:
    PURPOSE: To compare diagnostic effectiveness and sensitivity of the two methods of screening for diabetic retinopathy. METHODS: Prospective analytic study comparing diabetic retinopathy grading obtained from clinical slit lamp biomicroscopy and fundus fluorescein angiography (FFA). A total of 189 consecutive patients were examined in the ophthalmology department at Jordan University Hospital. RESULTS: A total of 376 eyes were reviewed by consultant ophthalmologist for diabetic retinopathy grading on FFA. The sensitivity of ophthalmoscopy in diagnosing diabetic retinopathy grading was 91.2%, with a specificity of 97.9%. The degree of agreement kappa was 0.87. CONCLUSIONS: Slit-lamp biomicroscopy is highly sensitive for screening diabetic retinopathy grading in diabetic patients and ophthalmologists do not need to confirm a suspected clinical diagnosis of proliferative diabetic retinopathy using FFA as ophthalmoscopy proved to be comparable to angiography.
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