Home Monitoring for Age-related Macular Degeneration

Miller, Kevin P.; Fortun, Jorge A.

doi:10.1007/s40135-018-0163-6

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…Among various techniques discussed in this paper, only AG and PHP have been systematically studied and their statistics widely reported based on various clinical trials. As reported in [68,69], the sensitivities of AG and PHP for the detection of macular AMD are 78% and 87% respectively. It is noteworthy that the focus of this paper was placed on the graphical interface methods from a computer science perspective.…”

Section: Discussionmentioning

confidence: 84%

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Recent Advances of Computerized Graphical Methods for the Detection and Progress Assessment of Visual Distortion Caused by Macular Disorders

Mohaghegh

Ghafar-Zadeh

Magierowski

2019

Vision

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Recent advances of computerized graphical methods have received significant attention for detection and home monitoring of various visual distortions caused by macular disorders such as macular edema, central serous chorioretinopathy, and age-related macular degeneration. After a brief review of macular disorders and their conventional diagnostic methods, this paper reviews such graphical interface methods including computerized Amsler Grid, Preferential Hyperacuity Perimeter, and Three-dimensional Computer-automated Threshold Amsler Grid. Thereafter, the challenges of these computerized methods for accurate and rapid detection of macular disorders are discussed. The early detection and progress assessment of macular disorders can significantly enhance the required clinical procedure for the diagnosis and treatment of macular disorders.

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Section: Discussionmentioning

confidence: 84%

“…However, these methods potentially can be used at home in the future using, for instance, a smart phone and tablet. The advantage of these methods for home diagnostic purposes have been reported in other review papers [68,69]. The focus of this paper was placed on the graphical computerized methods used for the detection of macular disorder.…”

Section: Discussionmentioning

confidence: 94%

Recent Advances of Computerized Graphical Methods for the Detection and Progress Assessment of Visual Distortion Caused by Macular Disorders

Mohaghegh

Ghafar-Zadeh

Magierowski

2019

Vision

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“…Miller and Fortun 12 reported that the traditional AGT was useful for monitoring patients’ vision but had limited specificity and sensitivity as a screening tool for neovascular macular degeneration. However, when community screening for AMD is considered, a test that is cost-effective, practical, and repeatable, with the highest diagnostic performance possible is the priority.…”

Section: Discussionmentioning

confidence: 99%

Using the Amsler Grid Test for Age-Related Macular Degeneration Screening

Kuzucu Üşümüş,

Koçak Altıntaş,

Özdemir

et al. 2024

tjo

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Objectives: To evaluate the use of the Amsler grid test (AGT) in screening for age-related macular degeneration (AMD), one of the most common causes of blindness, in primary healthcare settings. Materials and Methods: The AGT was applied to 700 eyes of 355 people aged 50 and over who applied to a family health center in Ankara and had no eye complaints. The test was considered positive if the lines on the AGT card were seen as broken or curved, there was a difference in shape or size between the squares, or a color change or blurring was described in any area. An ophthalmologist was consulted if the AGT was positive in one or both eyes. Patients considered suitable by ophthalmologists were evaluated with optical coherence tomography. AGT results were compared with ophthalmologist examination and tomography findings in terms of AMD detection. Results: The AGT was positive in 97 (13.9%) and negative in 603 (86.1%) out of 700 eyes included in the study. A total of 184 eyes, 79 with a positive AGT and 105 eyes with a negative test, were evaluated by an ophthalmologist. As a result of examinations and tests performed by ophthalmologists, AMD was detected in a total of 67 eyes: 42 of 79 eyes with positive AGT and 25 of 105 eyes with negative AGT but referred to an ophthalmologist for different reasons. In our study, the AGT had 62.7% sensitivity and 68.4% specificity. Conclusion: The AGT is an inexpensive and easily applicable test. Although moderate sensitivity and specificity were found in our study; further studies are needed to evaluate the suitability of its use for AMD screening in primary care with limited facilities.

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