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Comparison of Standard and Loupe Colposcopy (Part II): Initial Experience with a New 6×-10× Surgical Loupe
T P Reed1, C J Dunton, K Olafson
1Union Memorial Hospital, Baltimore, MD, and * Thomas Jefferson University Hospital, Philadelphia, PA.
Background:
Our objective was to describe our experience in using a newly designed surgical loupe as a substitute device for colposcopy.
Methods:
Eighty-two patients were examined with a prototype surgical loupe. The instrument has a self-contained halogen light source, allows for 6× and 10× magnification, and has a green filter. Colposcopic impression within one degree of the histological diagnosis was considered in agreement. The colposcopic impression using the new instrument was compared to biopsy diagnoses.
Results:
Colposcopic impressions with this new instrument agreed with final histological diagnoses in 93% of cases. The instrument was easy to use.
Conclusion:
The 6× to 10× surgical loupe is comfortable to use. Correlation with final pathological evaluation is comparable to standard colposcopic instruments. A trial of this instrument against a standard colposcope is ongoing.
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