使用欧洲兽医眼科医学院遗传性眼病分级方案对狗进行眼底镜检查的检查员之间的一致性。

IF 1.7 4区 农林科学 Q2 VETERINARY SCIENCES Veterinary ophthalmology Pub Date : 2024-10-31 DOI:10.1111/vop.13292
Niklas Holz, Malwina Ewa Kowalska, Simon Anton Pot, Antonella Rampazzo
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引用次数: 0

摘要

目标:使用 2022 年欧洲兽医眼科医学院遗传性眼病(ECVO-HED)眼底镜检查分级方案进行前瞻性观察研究,评估检查者之间的一致性:研究动物:60 只客户饲养的狗,作为繁殖前所需认证程序的一部分,对其进行眼底视网膜检查:两名临床经验相当的 ECVO 证书获得者使用 Koeppe 光学镜片和裂隙灯生物显微镜,以随机方式对所有眼睛进行 10 倍放大率的眼底镜检查:120 只眼睛(60 只狗)中有 118 只(93%)接受了眼底镜检查。在 110/118 只眼睛(93%)中,两位检查员提供了相同的饲养建议(是/否)。最终,58/60 只狗(97%)的配种建议达成一致。在栉状韧带异常(PLA)分级和虹膜角宽度(ICAW)分级上,检查员意见不一致的分别有 19/118 只眼睛和 9/118 只眼睛。栉状韧带异常分级的分歧主要出现在相邻等级之间。PLA和ICAW分级之间的分歧有时发生在同一只眼睛中,因此在虹膜角膜异常(ICAA)分级中观察到的分歧共有19/118只眼睛。Cohen's kappa 为 Κ = 0.62(95% TI 0.34-0.89),而最大 kappa 为 maxΚ = 0.82(95% TI 0.59-1)。混合模型分析表明,考官对育种建议无明显影响(OR 0.17;95% CI 0.02-1.12,p = .09):结论:尽管检查员对19/118只眼睛的ICAA分级存在分歧,但这导致8只眼睛的育种建议不同(是/否),而且只有两只狗的育种建议不同。因此,在大多数情况下,使用 2022 ECVO-HED 眼底检查分级方案似乎能让检查员提供相同的育种建议。
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Interexaminer agreement of gonioscopy examinations in dogs using the European College of Veterinary Ophthalmologists Hereditary Eye Diseases grading scheme.

Objective: Prospective observational study with preregistered study protocol to assess interexaminer agreement using the 2022 European College of Veterinary Ophthalmologists Hereditary Eye Disease (ECVO-HED) gonioscopy grading scheme.

Animals studied: Sixty client-owned dogs presented for gonioscopy as part of the required certification process prior to breeding.

Procedure: Two ECVO diplomates with comparable clinical experience performed gonioscopy with a Koeppe gonioscopy lens and slit-lamp biomicroscope at 10x magnification on all eyes in a randomized fashion.

Results: One hundred and eighteen of 120 eyes (60 dogs) were included. In 110/118 eyes (93%), both examiners provided the same breeding recommendation (yes/no). This translated into an agreement on the final breeding recommendation in 58/60 dogs (97%). Examiners disagreed on pectinate ligament abnormality (PLA) grading in 19/118 eyes and iridocorneal angle width (ICAW) grading in 9/118 eyes. PLA grading disagreement was mostly observed between neighboring grades. Disagreement between PLA and ICAW grading sometimes occurred within the same eye accounting for an observed disagreement in iridocorneal angle abnormality (ICAA) grading in 19/118 eyes in total. Cohen's kappa was Κ = 0.62 (95% TI 0.34-0.89), whereas maximum kappa was maxΚ = 0.82 (95% TI 0.59-1). Mixed model analysis suggested no significant examiner influence on breeding recommendations (OR 0.17; 95% CI 0.02-1.12, p = .09).

Conclusions: Although examiners disagreed on ICAA grading in 19/118 eyes, this resulted in a different breeding recommendation (yes/no) in eight eyes and in two dogs only. Therefore, the use of the 2022 ECVO-HED gonioscopy grading scheme seems to result in examiners providing the same breeding recommendations in most cases.

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来源期刊
Veterinary ophthalmology
Veterinary ophthalmology 农林科学-兽医学
CiteScore
2.70
自引率
37.50%
发文量
82
审稿时长
12-24 weeks
期刊介绍: Veterinary Ophthalmology is a peer-reviewed, international journal that welcomes submission of manuscripts directed towards academic researchers of veterinary ophthalmology, specialists and general practitioners with a strong ophthalmology interest. Articles include those relating to all aspects of: Clinical and investigational veterinary and comparative ophthalmology; Prospective and retrospective studies or reviews of naturally occurring ocular disease in veterinary species; Experimental models of both animal and human ocular disease in veterinary species; Anatomic studies of the animal eye; Physiological studies of the animal eye; Pharmacological studies of the animal eye.
期刊最新文献
Assessment of meibomian gland morphology and tear-film lipid layer using noncontact infrared meibography and meibometry, respectively, and tear-film osmolarity in healthy dogs. Insights from an online survey: Veterinary surgeons' antibiotic practices in ophthalmic surgery in Germany. Characterization of scleral rupture of canine globes following compression via mechanical testing unit. Bacterial isolates and antibiotic sensitivity in canine bacterial keratitis in Korea. Interexaminer agreement of gonioscopy examinations in dogs using the European College of Veterinary Ophthalmologists Hereditary Eye Diseases grading scheme.
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