• Sheila John, Vikram Arun, Nahush Katti, Bindu Appukuttan, Inbiomedvision Consortium Pearlson, and Sengamedu S Badrinath.
• Department of Teleophthalmology, Medical Research Foundation, Sankara Nethralaya, Chennai, India.
• Stud Health Technol Inform. 2013 Jan 1; 192: 1065.

ObjectiveTo assess the reliability and accuracy of smartphones in diagnosing transmitted fundus images in comparison with a laptop.Materials And MethodsFundus images captured with a Topcon NW 200 camera were transferred onto a conventional laptop and a smartphone and given to ophthalmologists for diagnosis. The smartphone and the laptop diagnosis were compared with the actual face to face diagnosis statistically to assess their diagnostic accuracy.ResultsFundus images of 228 eyes of 114 patients (mean age 47 years,73.6% males) were included in the study. 92.5% eyes were correctly diagnosed by both smartphones and laptop. Smartphone analysis revealed 98% sensitivity,57% specificity and kappa value of 0.62 in comparison to laptop, suggessting substantial interrater agreement.ConclusionsSmartphones are as effective as the laptop in diagnosing fundus pathologies and hold promise for teleophthalmology in future.

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