Usefulness of corneal esthesiometry for screening diabetic retinopathy

被引：8

作者：

Alvarenga, LS ^{[1
]}

Martins, EN ^{[1
]}

Grottone, GT ^{[1
]}

Morales, PHA ^{[1
]}

Paranhos, A ^{[1
]}

de Freitas, D ^{[1
]}

Scarpi, MJ ^{[1
]}

机构：

[1] Univ Fed Sao Paulo, Dept Oftalmol, BR-04023062 Sao Paulo, Brazil

来源：

REVISTA DE SAUDE PUBLICA | 2003年 / 37卷 / 05期

关键词：

diabetic retinopathy; diagnosis; sensitivity and specificity; mass screening; cornea; corneal esthesiometry;

D O I：

10.1590/S0034-89102003000500010

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective To assess the usefulness of corneal esthesiometry for screening diabetic retinopathy. Methods A cross-sectional study was carried out comprising 575 patients attending a diabetic retinopathy-screening program in the city of Sao Paulo. Corneal esthesiometry was assessed with the Cochet-Bonnet esthesiometer. The presence of diabetic retinopathy was detected with indirect fundoscopy. The validity of corneal esthesiometry in identifying diabetic retinopathy was evaluated by the Receiver Operating Characteristic (ROC) curve. Results Sensitivity and specificity analyses of the corneal esthesiometry for detecting the stages of diabetic retinopathy using different cut-offs showed values less than 80%. The best indices (72.2% sensitivity and 57.4% specificity) were obtained for the identification of patients with proliferative diabetic retinopathy. Conclusions In the study series, corneal esthesiometry was not a good indicator of diabetic retinopathy.

引用

页码：609 / 615

页数：7

共 18 条

[1]

[Anonymous], 2001, DIABETES CARE

[2]

BENOSMAN N, 1995, J FR OPHTALMOL, V18, P120

[3]

BOBERG-ANS JORN, 1956, ACTA OPHTHALMOL, V34, P149

[4] ESTHESIOMETRY AS AN INDICATOR OF CORNEAL HEALTH [J].

BRENNAN, NA ;

BRUCE, AS .

OPTOMETRY AND VISION SCIENCE, 1991, 68 (09) :699-702

[5]

DAUBS JG, 1975, AM J OPTOM PHYS OPT, V52, P31

[6]

Flynn HW, 2000, DIABETES OCULAR DIS

[7] THE MEANING AND USE OF THE AREA UNDER A RECEIVER OPERATING CHARACTERISTIC (ROC) CURVE [J].

HANLEY, JA ;

MCNEIL, BJ .

RADIOLOGY, 1982, 143 (01) :29-36

[8] CORNEAL HYPOESTHESIA [J].

MARTIN, XY ;

SAFRAN, AB .

SURVEY OF OPHTHALMOLOGY, 1988, 33 (01) :28-40

[9]

*MIN SAUD CONS BRA, 2000, CAMP NAC CIR EL CAT

[10] PHOTOCOAGULATION FOR DIABETIC MACULAR EDEMA - EARLY TREATMENT DIABETIC-RETINOPATHY STUDY REPORT 1. EARLY TREATMENT DIABETIC RETINOPATHY STUDY RESEARCH GROUP [J].

PATZ, A ;

RICE, TA ;

MURPHY, RP ;

NEWSOME, DA ;

SHERMAN, SH ;

FINE, SL ;

AIELLO, LM ;

RAND, LI ;

BRIONES, JC ;

SHAH, ST ;

MYERS, FL ;

BRESNICK, GH ;

DAVIS, MD ;

CHANDRA, SR ;

WALLOW, IHL ;

STEVENS, TS ;

KLEIN, R ;

FLYNN, HW ;

BLANKENSHIP, GW ;

KNOBLOCH, WH ;

RAMSAY, RC ;

CANTRILL, HL ;

HODGKINSON, BJ ;

RYAN, SJ ;

LIANG, JC ;

THOMAS, EL ;

KLEIN, ML ;

HANDELMAN, IL ;

SIPPERLEY, JO ;

CHENOWETH, RG ;

ERNEST, JT ;

LIANG, JC ;

CUNHA-VAZ, J ;

GOLDBERG, MF ;

LINDBERG, CR ;

VYGANTAS, C ;

KLEIN, HJ ;

BLAIR, N ;

REDNAM, K ;

KOPELOW, SM ;

SHABO, AL ;

STRAATSMA, BR ;

BRIONES, JC ;

KASSOFF, A ;

LITTLE, HL ;

JACK, RL ;

CAVENDER, JC ;

AI, E ;

SORENSON, RL ;

TASMAN, WS .

ARCHIVES OF OPHTHALMOLOGY, 1985, 103 (12) :1796-1806

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