Document Detail


A comparison of two photographic systems for grading cataract.
MedLine Citation:
PMID:  2001927     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two different systems for classifying lens opacities were compared: the Lens Opacity Classification System version II (LOCS II) and the system developed at Johns Hopkins University. Using the two systems, slit-lamp photographs of the nucleus and retroillumination lens photographs of 100 eyes were graded. Each photograph was graded independently by three trained observers, and the time taken to grade the photographs was similar. Each system uses photographs to define the severity of nuclear opacity and nuclear color, and each showed good interobserver agreement (kappa statistic, greater than 0.6). The method of classifying cortical and posterior subcapsular opacity varied, and although interobserver agreement was acceptable in each system, it was somewhat higher with the Hopkins system. Because different standards and definitions are used to define severity with each system, there was some variation in the classification of individual photographs and corresponding differences in the proportion of photographs in each grade of severity. These data provide a useful cross reference for future comparison of studies using these systems.
Authors:
H R Taylor; J A Lee; F Wang; B Muñoz
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Investigative ophthalmology & visual science     Volume:  32     ISSN:  0146-0404     ISO Abbreviation:  Invest. Ophthalmol. Vis. Sci.     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-04-12     Completed Date:  1991-04-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7703701     Medline TA:  Invest Ophthalmol Vis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  529-32     Citation Subset:  IM    
Affiliation:
Dana Center for Preventive Ophthalmology, The Wilmer Institute, Johns Hopkins University, Baltimore, Maryland.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cataract / pathology*
Color
Evaluation Studies as Topic
Humans
Lens Cortex, Crystalline / pathology
Lens Nucleus, Crystalline / pathology
Middle Aged
Photography / methods*
Reproducibility of Results
Grant Support
ID/Acronym/Agency:
EY04547/EY/NEI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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