Real-Life Value of the Odysight (R) Application in At-Home Screening for Exudative Recurrence of Macular Edema - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Journal of clinical medicine Année : 2022

Real-Life Value of the Odysight (R) Application in At-Home Screening for Exudative Recurrence of Macular Edema

Résumé

Background: The aim of this study was to describe the value of the Odysight (R) application in addition to a classical follow-up regimen in the detection of exudative recurrences in patients with macular edema. Methods: We conducted an observational, multicenter, retrospective study. The Odysight (R) application includes a visual acuity (VA) test that can lead to alerts in case of a drop of >5 VA letters on two successive tests. The efficacy of the alerts in detecting exudative recurrence was studied. Results: A total of 149 eyes of 123 patients were included. The sensitivity of alerts for the detection of recurrence was 30.8% (95% CI [17.6; 44.0]) and its specificity was 83.7% (95% CI [73.2; 94.3]). A better baseline VA was found to be significantly associated with a better retention of the application (OR = 0.05, 95% CI [0.002; 0.62]; p = 0.045). Of the 12/39 alerts that detected a recurrence, eight (20.5% of all alerts) resulted in the scheduling or advancement of an intravitreal injection. Conclusions: In the present study, the sensitivity and positive predictive value of the Odysight (R) application seems low but its use in addition to the usual follow-up of the patient can detect, in certain cases, an early recurrence and thus allow an anticipated readjustment of the treatment.

Dates et versions

hal-03955849 , version 1 (25-01-2023)

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Citer

Gauthier Kielwasser, Laurent Kodjikian, Corinne Dot, Carole Burillon, Philippe Denis, et al.. Real-Life Value of the Odysight (R) Application in At-Home Screening for Exudative Recurrence of Macular Edema. Journal of clinical medicine, 2022, 11 (17), pp.5010. ⟨10.3390/jcm11175010⟩. ⟨hal-03955849⟩
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