Dr.Pradeep Kumar, K12927
Prospective, Observational. Consecutive patients undergoing fundus evaluation by two ophthalmologists (Observer 1 & 2) using slit lamp biomicroscopy and indirect ophthalmoscopy evaluated. Randomized to Gp 1 (Conventional +90 D & +20 D lenses followed by new approach using range of multiple lenses) and Gp 2 (New approach followed by conventional). Alternate patients in each Gp examined by Obs 1 & Obs 2. Fundus evaluation outcomes compared. Number of imaging investigations ordered, after first evaluation, were compared.
RESULTS: N=168. Gp 1=84 & Gp 2 84. Gp 1 fundus evaluation findings increased in 38 patients by new approach. Gp 2 findings increased in 3 cases only. Gp 2 evaluation was superior to Gp 1 (p<0.05). Imaging investigations ordered by Gp 2 were lesser than Gp 1 after initial examination (p<0.05). CONCLUSION: A range of multiple slit lamp biomicroscopy and indirect ophthalmoscopy lenses improves accuracy of fundus evaluation and reduces number of imaging investigations.
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