A comparison of stereoscopic and monoscopic evaluation of optic disc topography using a digital optic disc stereo camera
Ben Parkina, Garry Shuttleworthb, Mark Costenc, Charles Davisonc
a Southampton
Eye Unit, Southampton General Hospital, Tremona Road, Southampton
SO16 6YD, UK, b Bristol Eye
Hospital, Lower Maudlin Street, Bristol BS1 2LX, UK, c Bournemouth Eye Unit, Royal
Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK
Correspondence to: Mr Ben Parkin benparkin{at}hotmail.com
Accepted for publication 25 April 2001
AIMS
To compare
stereophotographic and monophotographic optic disc assessments made
using a digital optic disc stereo camera.
METHODS
Stereo digital
optic disc photographs of 150 selected patients who had presented to a
glaucoma clinic were assessed by two masked observers on separate
occasions using (1) the stereophotographs and a stereoviewer, (2) a
single image from the same stereopair. Results were analysed for both
right and left eyes separately. 95% tolerance limits for change (TC)
and intraclass correlation coefficients (ICC) were calculated and a
multivariate analysis using a general linear model for repeated
measures was performed.
RESULTS
A total of 201 optic disc images of 150 patients (84 females, 108 left eyes) were
analysed. Mean age of patients was 64 years. The results for right eyes
are as follows (similar results were obtained for left eyes).
Intraobserver (stereoscopic compared to monoscopic) measurements of:
horizontal cup:disc ratios (CDR), ICC = 0.5995 and 0.7269, TC = 34%
and 27%; vertical CDR, ICC = 0.8298 and 0.817, TC = 25% and 27%;
area CDR, ICC = 0.7757 and 0.8259, TC = 28% and 25%; circumference
CDR, ICC = 0.7618 and 0.8103, TC = 28% and 25%. Interobserver
measurements of: horizontal CDR, ICC stereoscopic (SS) = 0.7287;
monoscopic (MS) = 0.5030; TC SS = 30%; MS = 32%; vertical CDR, ICC SS = 0.8439; MS = 0.7106; TC SS = 25%; MS = 31%; area CDR, ICC SS = 0.8392; MS = 0.6276; TC SS = 26%; MS = 32%; circumference CDR, ICC SS = 0.8433; MS = 0.6438, TC SS = 26%; MS = 31%. Systematic bias between
observers and between methods was within acceptable limits.
CONCLUSIONS
This study
using a digital stereo camera indicates that there may be little
benefit of stereoscopic imaging over monoscopic imaging despite
demonstrating small but inconsistent differences between both observers
and methods.
© 2001 by British Journal of Ophthalmology
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