{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:53:30Z","timestamp":1792151610009,"version":"4.4.0"},"reference-count":8,"publisher":"FapUNIFESP (SciELO)","issue":"9","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The aim of this study was to evaluate the applicability of a smartphone-based portable fundus camera for diabetic retinopathy screening in elderly residents of a specialized shelter in S\u00e3o Paulo, Brazil, considering image acquisition by non-ophthalmologist professionals and remote case classification.  METHODS: Prospective pilot interventional study at the Centro de Acolhida Especial para Idosos Morada S\u00e3o Jo\u00e3o. Thirty-eight participants (76 eyes) underwent retinal imaging using the Eyer\u00ae portable fundus camera (Phelcom Technologies, Brazil) by trained non-ophthalmologist professionals. Images were remotely evaluated by a retinal specialist and compared to the EyerMaps\u00ae artificial intelligence system.  RESULTS: Mean age was 71.6\u00b17.0 years; 78.9% male. Fifteen participants (39.5%) had confirmed diabetes mellitus. The specialist identified abnormalities in 70 of 76 eyes (92.1%), most frequently glaucoma suspicion, media opacity suggestive of cataract, chorioretinal changes, and age-related macular degeneration signs; no diabetic retinopathy was identified. Against the specialist's assessment of any ocular abnormality as the reference standard, the artificial intelligence system classified 22 eyes as abnormal, yielding sensitivity 25.7% (95%CI 16.9\u201337.0), specificity 33.3% (95%CI 9.7\u201370.0), positive predictive value 81.8% (95%CI 61.5\u201392.7), negative predictive value 3.7% (95%CI 1.0\u201312.5), and overall accuracy 26.3% (95%CI 17.7\u201337.2).  CONCLUSION: The Eyer\u00ae device demonstrated operational feasibility for ocular screening by trained non-ophthalmologists. The high prevalence of media opacities and non-diabetic retinopathy conditions compromised artificial intelligence performance, highlighting the need for broader screening strategies in elderly and socially vulnerable populations.<\/jats:p>","DOI":"10.1590\/1806-9282.20260862","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:18:17Z","timestamp":1792149497000},"source":"Crossref","is-referenced-by-count":0,"title":["Fundus camera and artificial intelligence for diabetic retinopathy screening in a S\u00e3o Paulo shelter"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9010-4770","authenticated-orcid":false,"given":"Julia Gimenes da Silva","family":"Dias","sequence":"first","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo","place":["S\u00e3o Paulo, SP, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5881-8126","authenticated-orcid":false,"given":"Gabriel Costa de","family":"Andrade","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo","place":["S\u00e3o Paulo, SP, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0662-0814","authenticated-orcid":false,"given":"Jo\u00e3o Victor Ten\u00f3rio Lossio de","family":"Macedo","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo","place":["S\u00e3o Paulo, SP, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6990-1058","authenticated-orcid":false,"given":"Andrezza Soldera","family":"Graziano","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o 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