The Validity and Reliability of Photographic Documentation of Proliferative Vitreoretinopathy

Stanley P. Azen, Alexander R. Irvine, Matthew D. Davis, Walter Stern, Lawrence Lonn, George Hilton, Ariah Schwartz, Donna Boone, Beth Quillen-Thomas, Maureen Lyons, John S. Lean, S. P. Azen, W. Barlow, D. Boone, B. Quillen-Thomas, M. S. Cox, M. S. Blumenkranz, R. R. Margherio, P. L. Murphy, M. T. TreseS. Lichterman, G. W. Blankenship, J. Clarkson, Harry W Flynn, M. Espinal, B. W. McCuen, B. Anderson, E. deJuan, R. Machemer, E. Stefansson, J. S. Tiedeman, M. M. Anderson, T. A. Meredith, T. M. Aaberg, H. J. Kaplan, P. Sternberg, L. Curtis, H. M. Freeman, F. I. Tolentino, E. Rapp, S. Anderson, A. Busby, B. M. Glaser, S. de Bustros, R. Michels, A. Alford, J. Hupp, G. W. Abrams, T. Burton, W. F. Mieler, G. A. Williams, A. Prescott, A. Kreiger, K. R. Diddie, J. Sidikaro, M. Yoshizumi, P. Armstrong, D. Kilburn, W. H. Stern, A. R. Irvine, R. D. Stone, F. Ballesteros, J. S. Lean, P. E. Liggett, S. J. Ryan, A. F. Walonker, J. L. Federman, D. Fischer, L. K. Sarin, W. S. Tasman, R. Reber, W. L. Hutton, D. G. Fuller, B. Jost, W. R. Snyder, W. B. Spender, A. Vaiser, D. Power, C. S. Barr, R. A. Isernhagen, N. D. Radtke, W. J. Wood, F. Wagner, G. K. Whittington, R. C. Ramsay, H. L. Cantrill, W. H. Knoblock, S. Cook, A. Irvine, G. Hilton, L. Lonn, A. Schwartz, J. Hoffman, A. Hillis, A. A. Afifi, D. Finkelstein, E. B. McLean, A. S. Rudisill, C. P. Wilkinson, R. Mowery, M. D. Davis, P. Dudley, I. Goldberg, J. McLaughlin, A. Rathjen, L. Hubbard

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

The Silicone Study is a multicentered, randomized surgical trial designed to compare the tamponade effectiveness of silicone oil versus longacting gas in the treatment of proliferative vitreoretinopathy (PVR) by vitrectomy and associated techniques. Fundus photographs are taken to provide documentation of the anatomic status of eyes proposed for entry and are graded at an independent Reading Center. This article describes the protocol for photographic documentation of PVR as a continuum of increasing pathology, in which the pathology may only be present in the anterior retina, and the retina is usually highly elevated. In a validity and reliability study, agreement between photographic and clinical observation within one step was obtained for 88% of the eyes; intra- and inter-observer agreement within one step was 85 and 80%, respectively. Differences between the surgeon's grade and the Reading Center's were caused about equally by disagreement regarding extent of fixed folds and width of the funnel. Rarely did peripheral folds not visible in the photographs appear to be the sole explanation of the disagreement. Differences among readers were concerned mainly with differentiation of true full-thickness fixed folds from folds due to simple redundancy of the detached retina. These results demonstrate that complicated retinal detachment (RD) can be photographically documented and independently assessed.

Original languageEnglish (US)
Pages (from-to)352-357
Number of pages6
JournalOphthalmology
Volume96
Issue number3
DOIs
StatePublished - 1989

Fingerprint

Proliferative Vitreoretinopathy
Reproducibility of Results
Documentation
Retina
Reading
Pathology
Silicone Oils
Vitrectomy
Retinal Detachment
Silicones
Gases
Observation
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Azen, S. P., Irvine, A. R., Davis, M. D., Stern, W., Lonn, L., Hilton, G., ... Hubbard, L. (1989). The Validity and Reliability of Photographic Documentation of Proliferative Vitreoretinopathy. Ophthalmology, 96(3), 352-357. https://doi.org/10.1016/S0161-6420(89)32895-8

The Validity and Reliability of Photographic Documentation of Proliferative Vitreoretinopathy. / Azen, Stanley P.; Irvine, Alexander R.; Davis, Matthew D.; Stern, Walter; Lonn, Lawrence; Hilton, George; Schwartz, Ariah; Boone, Donna; Quillen-Thomas, Beth; Lyons, Maureen; Lean, John S.; Azen, S. P.; Barlow, W.; Boone, D.; Quillen-Thomas, B.; Cox, M. S.; Blumenkranz, M. S.; Margherio, R. R.; Murphy, P. L.; Trese, M. T.; Lichterman, S.; Blankenship, G. W.; Clarkson, J.; Flynn, Harry W; Espinal, M.; McCuen, B. W.; Anderson, B.; deJuan, E.; Machemer, R.; Stefansson, E.; Tiedeman, J. S.; Anderson, M. M.; Meredith, T. A.; Aaberg, T. M.; Kaplan, H. J.; Sternberg, P.; Curtis, L.; Freeman, H. M.; Tolentino, F. I.; Rapp, E.; Anderson, S.; Busby, A.; Glaser, B. M.; de Bustros, S.; Michels, R.; Alford, A.; Hupp, J.; Abrams, G. W.; Burton, T.; Mieler, W. F.; Williams, G. A.; Prescott, A.; Kreiger, A.; Diddie, K. R.; Sidikaro, J.; Yoshizumi, M.; Armstrong, P.; Kilburn, D.; Stern, W. H.; Irvine, A. R.; Stone, R. D.; Ballesteros, F.; Lean, J. S.; Liggett, P. E.; Ryan, S. J.; Walonker, A. F.; Federman, J. L.; Fischer, D.; Sarin, L. K.; Tasman, W. S.; Reber, R.; Hutton, W. L.; Fuller, D. G.; Jost, B.; Snyder, W. R.; Spender, W. B.; Vaiser, A.; Power, D.; Barr, C. S.; Isernhagen, R. A.; Radtke, N. D.; Wood, W. J.; Wagner, F.; Whittington, G. K.; Ramsay, R. C.; Cantrill, H. L.; Knoblock, W. H.; Cook, S.; Irvine, A.; Hilton, G.; Lonn, L.; Schwartz, A.; Hoffman, J.; Hillis, A.; Afifi, A. A.; Finkelstein, D.; McLean, E. B.; Rudisill, A. S.; Wilkinson, C. P.; Mowery, R.; Davis, M. D.; Dudley, P.; Goldberg, I.; McLaughlin, J.; Rathjen, A.; Hubbard, L.

In: Ophthalmology, Vol. 96, No. 3, 1989, p. 352-357.

Research output: Contribution to journalArticle

Azen, SP, Irvine, AR, Davis, MD, Stern, W, Lonn, L, Hilton, G, Schwartz, A, Boone, D, Quillen-Thomas, B, Lyons, M, Lean, JS, Azen, SP, Barlow, W, Boone, D, Quillen-Thomas, B, Cox, MS, Blumenkranz, MS, Margherio, RR, Murphy, PL, Trese, MT, Lichterman, S, Blankenship, GW, Clarkson, J, Flynn, HW, Espinal, M, McCuen, BW, Anderson, B, deJuan, E, Machemer, R, Stefansson, E, Tiedeman, JS, Anderson, MM, Meredith, TA, Aaberg, TM, Kaplan, HJ, Sternberg, P, Curtis, L, Freeman, HM, Tolentino, FI, Rapp, E, Anderson, S, Busby, A, Glaser, BM, de Bustros, S, Michels, R, Alford, A, Hupp, J, Abrams, GW, Burton, T, Mieler, WF, Williams, GA, Prescott, A, Kreiger, A, Diddie, KR, Sidikaro, J, Yoshizumi, M, Armstrong, P, Kilburn, D, Stern, WH, Irvine, AR, Stone, RD, Ballesteros, F, Lean, JS, Liggett, PE, Ryan, SJ, Walonker, AF, Federman, JL, Fischer, D, Sarin, LK, Tasman, WS, Reber, R, Hutton, WL, Fuller, DG, Jost, B, Snyder, WR, Spender, WB, Vaiser, A, Power, D, Barr, CS, Isernhagen, RA, Radtke, ND, Wood, WJ, Wagner, F, Whittington, GK, Ramsay, RC, Cantrill, HL, Knoblock, WH, Cook, S, Irvine, A, Hilton, G, Lonn, L, Schwartz, A, Hoffman, J, Hillis, A, Afifi, AA, Finkelstein, D, McLean, EB, Rudisill, AS, Wilkinson, CP, Mowery, R, Davis, MD, Dudley, P, Goldberg, I, McLaughlin, J, Rathjen, A & Hubbard, L 1989, 'The Validity and Reliability of Photographic Documentation of Proliferative Vitreoretinopathy', Ophthalmology, vol. 96, no. 3, pp. 352-357. https://doi.org/10.1016/S0161-6420(89)32895-8
Azen, Stanley P. ; Irvine, Alexander R. ; Davis, Matthew D. ; Stern, Walter ; Lonn, Lawrence ; Hilton, George ; Schwartz, Ariah ; Boone, Donna ; Quillen-Thomas, Beth ; Lyons, Maureen ; Lean, John S. ; Azen, S. P. ; Barlow, W. ; Boone, D. ; Quillen-Thomas, B. ; Cox, M. S. ; Blumenkranz, M. S. ; Margherio, R. R. ; Murphy, P. L. ; Trese, M. T. ; Lichterman, S. ; Blankenship, G. W. ; Clarkson, J. ; Flynn, Harry W ; Espinal, M. ; McCuen, B. W. ; Anderson, B. ; deJuan, E. ; Machemer, R. ; Stefansson, E. ; Tiedeman, J. S. ; Anderson, M. M. ; Meredith, T. A. ; Aaberg, T. M. ; Kaplan, H. J. ; Sternberg, P. ; Curtis, L. ; Freeman, H. M. ; Tolentino, F. I. ; Rapp, E. ; Anderson, S. ; Busby, A. ; Glaser, B. M. ; de Bustros, S. ; Michels, R. ; Alford, A. ; Hupp, J. ; Abrams, G. W. ; Burton, T. ; Mieler, W. F. ; Williams, G. A. ; Prescott, A. ; Kreiger, A. ; Diddie, K. R. ; Sidikaro, J. ; Yoshizumi, M. ; Armstrong, P. ; Kilburn, D. ; Stern, W. H. ; Irvine, A. R. ; Stone, R. D. ; Ballesteros, F. ; Lean, J. S. ; Liggett, P. E. ; Ryan, S. J. ; Walonker, A. F. ; Federman, J. L. ; Fischer, D. ; Sarin, L. K. ; Tasman, W. S. ; Reber, R. ; Hutton, W. L. ; Fuller, D. G. ; Jost, B. ; Snyder, W. R. ; Spender, W. B. ; Vaiser, A. ; Power, D. ; Barr, C. S. ; Isernhagen, R. A. ; Radtke, N. D. ; Wood, W. J. ; Wagner, F. ; Whittington, G. K. ; Ramsay, R. C. ; Cantrill, H. L. ; Knoblock, W. H. ; Cook, S. ; Irvine, A. ; Hilton, G. ; Lonn, L. ; Schwartz, A. ; Hoffman, J. ; Hillis, A. ; Afifi, A. A. ; Finkelstein, D. ; McLean, E. B. ; Rudisill, A. S. ; Wilkinson, C. P. ; Mowery, R. ; Davis, M. D. ; Dudley, P. ; Goldberg, I. ; McLaughlin, J. ; Rathjen, A. ; Hubbard, L. / The Validity and Reliability of Photographic Documentation of Proliferative Vitreoretinopathy. In: Ophthalmology. 1989 ; Vol. 96, No. 3. pp. 352-357.
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TY - JOUR

T1 - The Validity and Reliability of Photographic Documentation of Proliferative Vitreoretinopathy

AU - Azen, Stanley P.

AU - Irvine, Alexander R.

AU - Davis, Matthew D.

AU - Stern, Walter

AU - Lonn, Lawrence

AU - Hilton, George

AU - Schwartz, Ariah

AU - Boone, Donna

AU - Quillen-Thomas, Beth

AU - Lyons, Maureen

AU - Lean, John S.

AU - Azen, S. P.

AU - Barlow, W.

AU - Boone, D.

AU - Quillen-Thomas, B.

AU - Cox, M. S.

AU - Blumenkranz, M. S.

AU - Margherio, R. R.

AU - Murphy, P. L.

AU - Trese, M. T.

AU - Lichterman, S.

AU - Blankenship, G. W.

AU - Clarkson, J.

AU - Flynn, Harry W

AU - Espinal, M.

AU - McCuen, B. W.

AU - Anderson, B.

AU - deJuan, E.

AU - Machemer, R.

AU - Stefansson, E.

AU - Tiedeman, J. S.

AU - Anderson, M. M.

AU - Meredith, T. A.

AU - Aaberg, T. M.

AU - Kaplan, H. J.

AU - Sternberg, P.

AU - Curtis, L.

AU - Freeman, H. M.

AU - Tolentino, F. I.

AU - Rapp, E.

AU - Anderson, S.

AU - Busby, A.

AU - Glaser, B. M.

AU - de Bustros, S.

AU - Michels, R.

AU - Alford, A.

AU - Hupp, J.

AU - Abrams, G. W.

AU - Burton, T.

AU - Mieler, W. F.

AU - Williams, G. A.

AU - Prescott, A.

AU - Kreiger, A.

AU - Diddie, K. R.

AU - Sidikaro, J.

AU - Yoshizumi, M.

AU - Armstrong, P.

AU - Kilburn, D.

AU - Stern, W. H.

AU - Irvine, A. R.

AU - Stone, R. D.

AU - Ballesteros, F.

AU - Lean, J. S.

AU - Liggett, P. E.

AU - Ryan, S. J.

AU - Walonker, A. F.

AU - Federman, J. L.

AU - Fischer, D.

AU - Sarin, L. K.

AU - Tasman, W. S.

AU - Reber, R.

AU - Hutton, W. L.

AU - Fuller, D. G.

AU - Jost, B.

AU - Snyder, W. R.

AU - Spender, W. B.

AU - Vaiser, A.

AU - Power, D.

AU - Barr, C. S.

AU - Isernhagen, R. A.

AU - Radtke, N. D.

AU - Wood, W. J.

AU - Wagner, F.

AU - Whittington, G. K.

AU - Ramsay, R. C.

AU - Cantrill, H. L.

AU - Knoblock, W. H.

AU - Cook, S.

AU - Irvine, A.

AU - Hilton, G.

AU - Lonn, L.

AU - Schwartz, A.

AU - Hoffman, J.

AU - Hillis, A.

AU - Afifi, A. A.

AU - Finkelstein, D.

AU - McLean, E. B.

AU - Rudisill, A. S.

AU - Wilkinson, C. P.

AU - Mowery, R.

AU - Davis, M. D.

AU - Dudley, P.

AU - Goldberg, I.

AU - McLaughlin, J.

AU - Rathjen, A.

AU - Hubbard, L.

PY - 1989

Y1 - 1989

N2 - The Silicone Study is a multicentered, randomized surgical trial designed to compare the tamponade effectiveness of silicone oil versus longacting gas in the treatment of proliferative vitreoretinopathy (PVR) by vitrectomy and associated techniques. Fundus photographs are taken to provide documentation of the anatomic status of eyes proposed for entry and are graded at an independent Reading Center. This article describes the protocol for photographic documentation of PVR as a continuum of increasing pathology, in which the pathology may only be present in the anterior retina, and the retina is usually highly elevated. In a validity and reliability study, agreement between photographic and clinical observation within one step was obtained for 88% of the eyes; intra- and inter-observer agreement within one step was 85 and 80%, respectively. Differences between the surgeon's grade and the Reading Center's were caused about equally by disagreement regarding extent of fixed folds and width of the funnel. Rarely did peripheral folds not visible in the photographs appear to be the sole explanation of the disagreement. Differences among readers were concerned mainly with differentiation of true full-thickness fixed folds from folds due to simple redundancy of the detached retina. These results demonstrate that complicated retinal detachment (RD) can be photographically documented and independently assessed.

AB - The Silicone Study is a multicentered, randomized surgical trial designed to compare the tamponade effectiveness of silicone oil versus longacting gas in the treatment of proliferative vitreoretinopathy (PVR) by vitrectomy and associated techniques. Fundus photographs are taken to provide documentation of the anatomic status of eyes proposed for entry and are graded at an independent Reading Center. This article describes the protocol for photographic documentation of PVR as a continuum of increasing pathology, in which the pathology may only be present in the anterior retina, and the retina is usually highly elevated. In a validity and reliability study, agreement between photographic and clinical observation within one step was obtained for 88% of the eyes; intra- and inter-observer agreement within one step was 85 and 80%, respectively. Differences between the surgeon's grade and the Reading Center's were caused about equally by disagreement regarding extent of fixed folds and width of the funnel. Rarely did peripheral folds not visible in the photographs appear to be the sole explanation of the disagreement. Differences among readers were concerned mainly with differentiation of true full-thickness fixed folds from folds due to simple redundancy of the detached retina. These results demonstrate that complicated retinal detachment (RD) can be photographically documented and independently assessed.

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DO - 10.1016/S0161-6420(89)32895-8

M3 - Article

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VL - 96

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EP - 357

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

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