Diagnostic Accuracy of B-Scan Ultrasonography for Assessing Vision Loss in Diabetic Retinopathy B-Scan Ultrasonography in Diabetic Retinopathy

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Published: Aug 13, 2024
DOI: https://doi.org/10.61919/jhrr.v4i3.1353
Keywords:
Vision Loss Diagnostic Accuracy Diabetic Retinopathy Visual Impairment

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Athar Habib
Bachelor of Vision Sciences, Department of Optometry & Vision Sciences, University of Lahore, Lahore
https://orcid.org/0009-0004-5847-744X
Zahra Akram
Department of Optometry & Vision Sciences, University of Lahore, Lahore
Mariam Sana Ullah
MPhil Optometry, Department of Optometry, The University of Faisalabad, Faisalabad
Muhammad Assad Nasir
Bachelor of Vision Sciences, Department of Optometry & Vision Sciences, University of Lahore, Lahore.
Komal Mushtaq
Lecturer, Department of Optometry and Vision Sciences, University of Lahore, Lahore
Aneesa Akbar
Bachelor of Vision Sciences, Department of Optometry & Vision Sciences, University of Lahore, Lahore.
Faiza Akhtar
Lecturer, Department of Optometry & Vision Sciences, University of Lahore, Lahore
Muhammad Shayyan
Bachelor of Vision Sciences, Department of Optometry & Vision Sciences, University of Lahore, Lahore.

Abstract

Background: Diabetic retinopathy (DR) is a leading cause of vision loss globally, necessitating effective diagnostic tools for early detection and management. B-Scan ultrasonography is a non-invasive imaging modality that can assess posterior segment anomalies, particularly in cases where direct retinal visualization is impeded.
Objective: To evaluate the diagnostic accuracy of B-Scan ultrasonography for assessing visual impairment in diabetic retinopathy patients.
Methods: A cross-sectional study was conducted at the University of Lahore Teaching Hospital, Lahore, from December 2023 to May 2024. A total of 200 patients with type 2 diabetes (150 males, 50 females) were included. B-Scan ultrasonography was performed using a 10 MHz transducer in a thermally controlled room. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated using clinical diagnoses as the reference standard.
Results: B-Scan ultrasonography showed a sensitivity of 94.6%, specificity of 76.92%, PPV of 92.10%, NPV of 83.33%, and an overall accuracy of 90% in diagnosing vision-impairing retinal pathologies.
Conclusion: B-Scan ultrasonography is a highly sensitive and reliable tool for assessing vision loss in diabetic retinopathy, particularly in cases complicated by media opacities, and should be considered in routine clinical practice.

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How to Cite
Athar Habib, Zahra Akram, Mariam Sana Ullah, Muhammad Assad Nasir, Komal Mushtaq, Aneesa Akbar, Faiza Akhtar, & Muhammad Shayyan. (2024). Diagnostic Accuracy of B-Scan Ultrasonography for Assessing Vision Loss in Diabetic Retinopathy: B-Scan Ultrasonography in Diabetic Retinopathy. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1353
Issue
Vol. 4 No. 3 (2024): Volume 4, Issue 3 - July to September 2024
Section
Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biography

Athar Habib, Bachelor of Vision Sciences, Department of Optometry & Vision Sciences, University of Lahore, Lahore

Athar Habib is a young researcher & Clinical Optometrist with a passion for Optometry. His dedication to research coupled with his commitment to pateint care set him on a path a becoming future leader in field of Optometry based Islamic Republic of Pakistan

References

Ali AM, Elsheikh EA, Elawad ME. Causes of Low Vision in Sudan: A Study Among the Attendees of Blind Centres in Khartoum. Sud J Ophthalmol. 2009;1(1):13-5.

Daniels R, van Rossum E, de Witte L, Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T. Validation of the Mini Nutritional Assessment Short-Form (MNA-SF): A Practical Tool for Identification of Nutritional Status. J Nutr Health Aging. 2009;13(9):782-8.

Khandekar R. Screening and Public Health Strategies for Diabetic Retinopathy in the Eastern Mediterranean Region. Middle East Afr J Ophthalmol. 2012;19(2):178-84.

Vujosevic S, Aldington SJ, Silva P, Hernández C, Scanlon P, Peto T, Simó R. Screening for Diabetic Retinopathy: New Perspectives and Challenges. Lancet Diabetes Endocrinol. 2020;8(4):337-47.

Elbagir MN, Eltom MA, Mahadi EO, Berne C. Pattern of Long-Term Complications in Sudanese Insulin-Treated Diabetic Patients. Diabetes Res Clin Pract. 1995;30(1):59-67.

Fong DS, Aiello L, Gardner TW, King GL, Blankenship G, Cavallerano JD, Ferris FL, Klein R, American Diabetes Association. Retinopathy in Diabetes. Diabetes Care. 2004;27(Suppl_1).

Early Treatment Diabetic Retinopathy Study Research Group. Grading Diabetic Retinopathy From Stereoscopic Color Fundus Photographs—An Extension of the Modified Airlie House Classification: ETDRS Report Number 10. Ophthalmology. 1991;98(5):786-806.

Olmos PR, Vollrath V, Irribarra V. The “Flip-Flop” of Aldose Reductase Gene in Diabetic Retinopathy and Nephropathy. Biosci Hypotheses. 2009;2(2):92-9.

Dawood Z, Mirza SA, Qadeer A. Role of B-Scan Ultrasonography for Posterior Segment Lesions. J Liaquat Uni Med Health Sci. 2008;7(1):53-7.

Mohamed Q, Gillies MC, Wong TY. Management of Diabetic Retinopathy: A Systematic Review. JAMA. 2007;298(8):902-16.

Baydar S, Adapinar B, Kebapci N, Bal CE, Topbas S. Colour Doppler Ultrasound Evaluation of Orbital Vessels in Diabetic Retinopathy. Australas Radiol. 2007;51(3):230-5.

Kertes PJ, Johnson TM, editors. Evidence-Based Eye Care. Philadelphia: Lippincott Williams & Wilkins; 2007.

Mohamed IE, Mohamed MA, Yousef M, Mahmoud MZ, Alonazi B. Use of Ophthalmic B-Scan Ultrasonography in Determining the Causes of Low Vision in Patients With Diabetic Retinopathy. Eur J Radiol Open. 2018;5:79-86.

Salz DA, Witkin AJ. Imaging in Diabetic Retinopathy. Middle East Afr J Ophthalmol. 2015;22(2):145-50.

Zhang X, Saaddine JB, Chou CF, Cotch MF, Cheng YJ, Geiss LS, Gregg EW, Albright AL, Klein BE, Klein R. Prevalence of Diabetic Retinopathy in the United States, 2005-2008. JAMA. 2010;304(6):649-56.

Nguyen QD, Tatlipinar S, Shah SM, Haller JA, Quinlan E, Sung J, Zimmer-Galler I, Do DV, Campochiaro PA. Vascular Endothelial Growth Factor Is a Critical Stimulus for Diabetic Macular Edema. Am J Ophthalmol. 2006;142(6):961-9.

Andrade LJ, Bittencourt AM, França CS. Sonographic Ocular Findings in Diabetic Retinopathy. Arq Bras Oftalmol. 2015;78(3):156-60.

Aiello LM. Perspectives on Diabetic Retinopathy. Am J Ophthalmol. 2003;136(1):122-35.

Rabinowitz R, Yagev R, Shoham A, Lifshitz T. Comparison Between Clinical and Ultrasound Findings in Patients With Vitreous Hemorrhage. Eye (Lond). 2004;18(3):253-6.