EasyManua.ls Logo

LKC TECHNOLOGIES RETeval - Protocol Selection and Management; Choosing and Using Protocols; DR Assessment Protocol Details

LKC TECHNOLOGIES RETeval
103 pages
Print Icon
To Next Page IconTo Next Page
To Next Page IconTo Next Page
To Previous Page IconTo Previous Page
To Previous Page IconTo Previous Page
Loading...
Choosing a protocol
RET
eval
Device User Manual 20
Choosing a protocol
The RET
eval
device enables you to change the stimulus conditions
(called protocols) to best meet your needs via a protocol chooser. The
flicker ERG option adds more than 10 protocols with varying flicker
stimuli. The RET
eval
complete option adds single flash stimuli protocols.
The choose protocol screen has the four most recently used protocols
and folders for protocols commonly used with the device, ones
recommended by ISCEV, custom protocols (if you have any), and all
protocols.
DR Assessment
The DR Assessment Protocol is designed to aid in the detection of vision threatening diabetic
retinopathy (DR), which is defined as severe non-proliferative DR (ETDRS level 53), proliferative
DR (ETDRS levels 61+), or clinically significant macular edema (CSME). This definition of vision-
threatening DR (VTDR) is the same as used in the NHANES 2005-2008 epidemiology study (Zhang
et al. 2010) sponsored by the United States National Center for Health Statistics (NCHS) and the
Centers for Disease Control and Prevention (2011).
The DR Assessment Protocol was developed using measurements of 467 people with diabetes
aged 23 88 (Maa et al. 2016). The gold standard, 7-field, color, stereo, ETDRS-compliant fundus
photography with non-physician expert grading (double-read with adjudication), classified each
subject into a severity group (Table 1) based on the subject’s worst eye. The study had a planned
oversampling of low-prevalence retinopathy levels, and the subject population included 106
diabetics with VTDR in at least one eye. The average testing time for the RET
eval
device during
the clinical trial was 2.3 minutes to test both eyes.
Table 1: Severity group definitions.
International Clinical Classification (Wilkinson et al. 2003)
ETDRS Level
CSME
No NPDR
10 - 12
-
Mild NPDR
14 - 35
-
Moderate NPDR
43 - 47
-
CSME with No, Mild, or Moderate NPDR
10 - 47
+
Severe NPDR or Proliferative DR
53 - 85
+ / -
Ungradable ETDRS Level
?
+

Table of Contents

Other manuals for LKC TECHNOLOGIES RETeval