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Clinical biomicroscopy versus fluorescein angiography: effectiveness and sensitivity in detecting diabetic
S S Khalaf1, M D Al-Bdour, M I Al-Till
1Jordan University Hospital, Amman, Jordan. skhalaf1@yahoo.com
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.
