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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6552607PMC
http://dx.doi.org/10.4103/ijo.IJO_2144_18DOI Listing

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Article Synopsis
  • The study aimed to assess how accurately medical students can examine the fundus using either an unmodified iPhone X or a direct ophthalmoscope compared to a staff ophthalmologist's evaluations.
  • Medical students conducted 230 retinal exams, with a higher failure rate in reporting the cup-to-disc ratio when using the iPhone X (81.2%) compared to the direct ophthalmoscope (30.1%).
  • Overall, both the iPhone X and direct ophthalmoscope showed poor reliability against the staff ophthalmologist's findings, but the iPhone X was particularly less effective for optic disc visualization.
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Optic disc photographic assessment was performed using an unmodified iPhone Xs Max. A video recording of the disc and peripapillary area was obtained in 5 patients. Good quality screenshots were acquired from the video, and, from them, a single best quality image was selected.

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High-Resolution Direct Ophthalmoscopy With an Unmodified iPhone X.

JAMA Ophthalmol

February 2019

National Institute of Health Research Biomedical Research Centre, Moorfields Eye Hospital, UCL Institute of Ophthalmology, London, United Kingdom.

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