Non-mydriatic single-field fundus photography for the screening of XXXX in an executive health clinic.

@entity1 @entity101 @entity1781 @entity3193 @entity989 @entity1020
BACKGROUND AND OBJECTIVE: To determine the accuracy and sensitivity of a single-field non-mydriatic digital fundus image interpreted by an ophthalmologist and performed within a primary care setting. @entity1 AND METHODS: Fundus photography using a digital non-mydriatic camera was performed on both eyes of 1,175 consecutive @entity1 as part of an executive health program. All fundus images included a 45   field of the posterior pole capturing the optic nerve and macular area. Diagnostic findings were recorded and appropriate recommendations for follow-up were made. @entity1 were then contacted to see whether appropriate follow-up was successfully completed and chart reviews were performed to determine biomicroscopic findings. RESULTS: Photographs were adequate in both eyes in 1,117 @entity1 (95.1%). Examination findings were normal in both eyes in 951 (85.1%) @entity1 . Abnormal findings were noted in either eye in 166 (14.9%) @entity1 . The most common abnormal findings were @entity1020 (57/166, 34.3%), @entity1781 (45/166, 27.1%), @entity101 (15/166, 9.0%), and @entity3193 (10/166, 6.0%). In all @entity1 with abnormal findings, routine follow-up ophthalmologic examination with an eye care specialist was indicated and none of the @entity1 required urgent attention. Sensitivity was found to be 87% and stratification was performed based on the initial diagnosis. False-positive results were from confounding diagnoses rather than true false-positives. CONCLUSION: Single-field non-mydriatic fundus photography is accurate and sensitive for screening @entity989 in a primary care setting.
