Table 1.
Sensitivity and Specificity for Diagnosing Optic Disc Edema Using Fundus Photos Compared with the Standard Clinical Examination (n = 206 Eyes)
| STANDARD CLINICAL EXAMINATION | ||||
|---|---|---|---|---|
| DIAGNOSIS WITH PHOTO | EDEMA | NO EDEMA | SENSITIVITY (95% CI) | SPECIFICITY (95% CI) |
| Grader 1 | ||||
| Present, likely present, uncertain | 95 | 19 | 92.2 (95.4–96.0) | 81.6 (73.0–87.9) |
| Likely absent, absent | 8 | 84 | ||
| Present, likely present, uncertain, likely absent | 101 | 42 | 98.1 (93.2–99.5) | 59.2 (49.6–68.2) |
| Absent | 2 | 61 | ||
| Grader 2 | ||||
| Present, likely present, uncertain | 74 | 5 | 71.8 (62.5–79.6) | 95.2 (89.1–98.9) |
| Likely absent, absent | 29 | 98 | ||
| Present, likely present, uncertain, likely absent | 83 | 8 | 80.6 (71.9–87.1) | 92.2 (85.4–96.0) |
| Absent | 20 | 95 | ||
| Grader 3 | ||||
| Present, likely present, uncertain | 82 | 7 | 79.6 (70.8–86.3) | 93.2 (86.6–96.7) |
| Likely absent, absent | 21 | 96 | ||
| Present, likely present, uncertain, likely absent | 95 | 20 | 92.2 (85.4–96.0) | 80.6 (71.9–87.1) |
| Absent | 8 | 83 | ||
| Grader 4 | ||||
| Present, likely present, uncertain | 89 | 16 | 86.4 (78.5–91.7) | 84.5 (76.3–90.2) |
| Likely absent, absent | 14 | 87 | ||
| Present, likely present, uncertain, likely absent | 98 | 39 | 95.2 (89.1–97.9) | 62.1 (52.5–70.9) |
| Absent | 5 | 64 | ||
CI, confidence interval.