Meta-Analysis of Stratus OCT Glaucoma Diagnostic Accuracy
學年 103
學期 1
出版（發表）日期 2014-09-01
作品名稱 Meta-Analysis of Stratus OCT Glaucoma Diagnostic Accuracy
作品名稱（其他語言）
著者 Hsin-Yi Chen; Yue-Cune Chang
單位
出版者
著錄名稱、卷期、頁數 Optometry and Vision Science 91(9), pp.1129-1139
摘要 Purpose: To evaluate the diagnostic accuracy of glaucoma in different stages, different types of glaucoma, and different ethnic groups using Stratus optical coherence tomography (OCT). Methods: We searched MEDLINE to identify available articles on diagnostic accuracy of glaucoma published between January 2004 and December 2011. A PubMed (National Center for Biotechnology Information) search using medical subject headings and keywords was executed using the following terms: “diagnostic accuracy” or “receiver operator characteristic” or “area under curve” or “AUC” and “Stratus OCT” and “glaucoma.” The search was subsequently limited to publications in English. The area under a receiver operator characteristic (AUC) curve was used to measure the diagnostic performance. A random-effects model was used to estimate the pooled AUC value of the 17 parameters (average retinal nerve fiber layer thickness, temporal quadrant, superior quadrant, nasal quadrant, inferior quadrant, and 1 to 12 o’clock). Meta-regression analysis was used to check the significance of some important factors: (1) glaucoma severity (five stages), (2) glaucoma types (four types), and (3) ethnicity (four categories). Results: The orders of accuracy among those parameters were as follows: average > inferior > superior > 7 o’clock > 6 o’clock > 11 o’clock > 12 o’clock > 1 o’clock > 5 o’clock > nasal > temporal > 2 o’clock > 10 o’clock > 8 o’clock > 9 o’clock > 4 o’clock > 3 o’clock. After adjusting for the effects of age, glaucoma severity, glaucoma types, and ethnicity, the average retinal nerve fiber layer thickness provided highest accuracy compared with the other parameters of OCT. The diagnostic accuracy in Asian populations was significantly lower than that in whites and the other two ethnic types. Conclusions: Stratus OCT demonstrated good diagnostic capability in differentiating glaucomatous from normal eyes. However, we should be more cautious in applying this instrument in Asian groups in glaucoma management.
關鍵字
語言 en_US
ISSN 1040-5488 1538-9235
期刊性質 國外
收錄於 SCI
產學合作
通訊作者 Hsin-Yi Chen
審稿制度 是
國別 USA
公開徵稿
出版型式 ,電子版,紙本
相關連結

機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/105934 )