Skip to main content

Video Imaging Technology: A Novel Method for Diabetic Retinopathy Screening

  • Chapter
  • First Online:
  • 577 Accesses

Abstract

Objective: To evaluate the efficacy of a new imaging technique using retinal video recording and compression for diabetic retinopathy (DR) screening

Methods: A total of 200 eyes (100 participants) were captured using retinal digital videos (OIS EyeScan) and standard retinal still photography (Zeiss FF 450 plus), followed by slit lamp examination by a senior consultant ophthalmologist. Kappa statistics, sensitivity, and specificity for all the DR signs and grades were calculated with reference to slit lamp examination as reference standard. Furthermore, 36 retinal videos with good quality were further analyzed and interpreted for diagnostic accuracies at different compression levels.

Results: The mean age (± standard deviation) of participants was 52.8 ± 15.1 years, duration of diabetes was 13.7 ± 9.7 years, and mean HbA1c was 8.0 ± 1.7%. The sensitivity and specificity of video recording for detecting the presence of any DR were 93.8% and 99.2%, respectively (ophthalmologist 1), and 93.3% and 95.2%, respectively (ophthalmologist 2), with reference to slit lamp examination. In contrast, the sensitivity and specificity of retinal photography were 91.8% and 98.4%, respectively (ophthalmologist 1), and 92.1% and 96.8%, respectively (ophthalmologist 2), for detection of any DR. For video compression analysis, the retinal video of 20 MB had a sensitivity and specificity of more than 90%. Technical failure rates for retinal video recording and retinal photography were 7.0% and 5.5%, respectively.

Conclusion: Retinal video recording is a novel and effective DR screening technique. It is quick and easy to perform with minimal training for both experienced and inexperienced ophthalmic photographers. By making it easier to screen and monitor DR in the community, particularly in remote areas and developing countries, this potentially sight-threatening condition may be diagnosed earlier and treated appropriately.

Keywords

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. McKay R, McCarty CA, Taylor HR (2000) Diabetic retinopathy in Victoria, Australia: the visual impairment project. Br J Ophthalmol 84:865–870

    Article  PubMed  CAS  Google Scholar 

  2. Klein R, Klein BE, Moss SE, Davis MD, DeMets DL (1984) The Wisconsin epidemiologic study of diabetic retinopathy. III. Prevalence and risk of diabetic retinopathy when age at diagnosis is 30 or more years. Arch Ophthalmol 102:527–532

    Article  PubMed  CAS  Google Scholar 

  3. Ting DSW, Tay-Kearney ML, Constable IJ, Liam L, Yogesan K (2011) Retinal video recording: a new way to image and diagnose diabetic retinopathy. Ophthalmology 118(8):1588–1593

    Article  PubMed  Google Scholar 

  4. Early Treatment Diabetic Retinopathy Study Research Group (1991) Grading diabetic retinopathy from stereoscopic color fundus photographs – an extension of the modified Airlie house classification. ETDRS report number 10. Early Treatment Diabetic Retinopathy Study Research Group. Ophthalmology 98:786–806

    Google Scholar 

  5. Wilkinson CP, Ferris FL 3rd, Klein RE, Lee PP, Agardh CD, Davis M et al (2003) Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 110:1677–1682

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel Ting .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ting, D., Yogesan, K., Constable, I., Tay-Kearney, ML. (2012). Video Imaging Technology: A Novel Method for Diabetic Retinopathy Screening. In: Yogesan, K., Goldschmidt, L., Cuadros, J. (eds) Digital Teleretinal Screening. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25810-7_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-25810-7_4

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-25809-1

  • Online ISBN: 978-3-642-25810-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics