Clinical utility of handheld fundus and smartphone-based camera for monitoring diabetic retinal diseases: a review study

Naz, Huma; Nijhawan, Rahul; Ahuja, Neelu Jyothi

doi:10.1007/s10792-024-02975-4

Cited by 2 publications

(1 citation statement)

References 82 publications

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“… 16 Considering its portability and affordability, smartphone-based handheld fundus camera played a crucial role in monitoring various diabetic retinal diseases. 17 Meanwhile, the integration with AI has the potential to further improve the low quality of this handheld fundus camera compared to the traditional tabletop fundus camera and achieve automatic grade ability with handheld images which may provide DME patients with a more effective and convenient screening strategy.…”

Section: Resultsmentioning

confidence: 99%

Integration of smartphone technology and artificial intelligence for advanced ophthalmic care: A systematic review

Jin,

Li,

et al. 2024

Advances in Ophthalmology Practice and Research

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Section: Resultsmentioning

confidence: 99%

Integration of smartphone technology and artificial intelligence for advanced ophthalmic care: A systematic review

Jin,

Li,

et al. 2024

Advances in Ophthalmology Practice and Research

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Race, Social Determinants of Health, and the Quality of Diabetic Eye Care

Chaudhury,

Ige,

Marwah

et al. 2024

JAMA Ophthalmol

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ImportanceBesides race, little is known about how other social determinants of health (SDOH) affect quality of diabetic eye care.ObjectiveTo evaluate the association between multiple SDOH and monitoring for diabetic retinopathy (DR) in accordance with clinical practice guidelines (CPGs).Design, Setting, and ParticipantsThis cohort study was conducted in 11 US medical centers and included adult patients (18-75 years old) with diabetes. Patients received care from 2012 to 2023 and had 18 months or more of follow-up.ExposuresMultiple SDOH and associated factors, including ethnicity, urbanicity of residence, health insurance type, and diabetes type.Main Outcomes and MeasuresAdjusted odds ratio (aOR) of receiving 1 or more eye-care visits and 1 or more dilated fundus examinations in accordance with CPGs.ResultsThe study cohort included 37 397 adults with diabetes: 10 157 Black patients and 27 240 White patients. The mean (SD) age was 58 (11) years for Black patients and 59 (11) years for White patients. Of the Black patients, 6422 (63.2%) were female and 3735 (36.8%) male; of the White patients, 13 120 (48.1) were female and 14 120 (51.8) were male. Compared with those of the same race in urban communities, Black patients (aOR, 0.12; 95% CI, 0.04-0.31) and White patients (aOR, 0.75; 95% CI, 0.62-0.91) with diabetes living in rural communities had 88% and 25% lower odds of having eye-care visits, respectively. Sicker Black and White patients, defined by the Charlson Comorbidity Index, had 4% (aOR, 1.04; 95% CI, 1.02-1.06) and 5% (aOR, 1.05, CI 1.04-1.06) higher odds of having an eye-care visit, respectively. Black patients with preexisting DR had 15% lower odds of visits (aOR, 0.85, CI 0.73-0.99) compared with those without preexisting DR while White patients with preexisting DR had 16% higher odds of eye-care visits (aOR, 1.16; 95% CI, 1.05-1.28). White patients with Medicare (aOR, 0.85; 95% CI, 0.80-0.91) and Medicaid (aOR, 0.81; 95% CI, 0.68-0.96) had lower odds of eye-care visits vs patients with commercial health insurance. Hispanic White patients had 15% lower odds of eye-care visits (aOR, 0.85; 95% CI, 0.74-0.98) vs non-Hispanic White patients. White patients with type 1 diabetes had 17% lower odds of eye-care visits (aOR, 0.83; 95% CI, 0.76-0.90) vs those with type 2 diabetes. Among patients who had eye-care visits, those with preexisting DR (Black: aOR, 1.68; 95% CI, 1.11-2.53; White: aOR, 1.51; 95% CI, 1.16-1.96) were more likely to undergo dilated fundus examinations.Conclusions and RelevanceThis study found that certain SDOH affected monitoring for DR similarly for Black and White patients with diabetes while others affected them differently. Patients living in rural communities, Black patients with preexisting DR, and Hispanic White patients were not receiving eye care in accordance with CPGs, which may contribute to worse outcomes.

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Clinical utility of handheld fundus and smartphone-based camera for monitoring diabetic retinal diseases: a review study

Cited by 2 publications

References 82 publications

Integration of smartphone technology and artificial intelligence for advanced ophthalmic care: A systematic review

Integration of smartphone technology and artificial intelligence for advanced ophthalmic care: A systematic review

Race, Social Determinants of Health, and the Quality of Diabetic Eye Care

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