{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:31:58Z","timestamp":1787761918057,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess the agreement between the diagnosis made by trained technicians at vision centers (VC) and oculoplasty specialists at the base hospital, in patients referred from VC to the orbit and oculoplasty clinic of a tertiary eye care hospital in south India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective study that compared the findings of VC technicians and the specialists of the orbit and oculoplasty services in a base hospital. A total of 384 patients referred from 17 VCs between May 2021 and May 2022 were included. The diseases were categorized according to the site of involvement as diseases of the eyelids (43%), diseases of the lacrimal system (37.3%), orbital diseases (15.6), and others (4.1%). The mean age of the patients was 35.9 years and 50.6% were females. Medical records of all referred patients who attended the orbit clinic were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 384 patients, 378 (98.67%) were confirmed to have o\n                      <jats:bold>r<\/jats:bold>\n                      bital and adnexal diseases. There was an overall 80% agreement between the diagnosis made by trained VC technicians and oculoplasty specialists; the kappa coefficient was 0.78 (95% confidence interval [CI]: 0.76 to 0.80), with a\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value &lt; 0.001. The agreement was the highest for diseases of the lacrimal system (90.9%, kappa coefficient 0.87), followed by eyelid pathologies (80%, kappa coefficient: 0.77). Of these, 54.8% of patients were managed with surgical procedures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is good agreement between the findings of VC technicians and oculoplasty specialists. Trained technicians can help in the early detection and referral to higher centers. They also help to make sure adherence to treatment and periodic evaluation, especially in resource-constraint settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_3194_22","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T14:01:16Z","timestamp":1688565676000},"page":"2822-2826","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Accuracy of trained technicians in screening orbital and adnexal diseases at rural vision centers in South India"],"prefix":"10.4103","volume":"71","author":[{"given":"Maneksha","family":"Velu","sequence":"first","affiliation":[{"name":"Department of Orbit and Oculoplasty, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K S","family":"Aparna","sequence":"additional","affiliation":[{"name":"Department of Orbit and Oculoplasty, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavya","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Orbit and Oculoplasty, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"333","DOI":"10.4103\/ijo.IJO_118_19","article-title":"Primary eye care in India \u2013 The vision center model","volume":"68","author":"Khanna","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"871","DOI":"10.4103\/ijo.IJO_1390_20","article-title":"Agreement of findings of glaucoma screening between trained vision center technicians and glaucoma specialists at a tertiary hospital in South India","volume":"69","author":"Rengappa","year":"2021","journal-title":"Indian J Ophthalmol"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/cxo.12345","article-title":"Accuracy of vision technicians in screening ocular pathology at rural vision centres of southern India","volume":"99","author":"Suram","year":"2016","journal-title":"Clin Exp Optom"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"362","DOI":"10.4103\/ijo.IJO_991_19","article-title":"Role of teleophthalmology to manage anterior segment conditions in vision centres of south India: EyeSmart study-I","volume":"68","author":"Misra","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"381","DOI":"10.4103\/0301-4738.55078","article-title":"Application of tele-ophthalmology in remote diagnosis and management of adnexal and orbital diseases","volume":"57","author":"Verma","year":"2009","journal-title":"Indian J Ophthalmol"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"409","DOI":"10.3109\/09286586.2015.1082605","article-title":"Clinical competency of 1 yeartrained vision technicians in Andhra Pradesh, India","volume":"22","author":"Paudel","year":"2015","journal-title":"Ophthalmic Epidemiol"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"e100287","DOI":"10.1136\/bmjhci-2020-100287","article-title":"Accuracy of periocular lesion assessment using telemedicine","volume":"28","author":"Kang","year":"2021","journal-title":"BMJ Health Care Inform"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1258\/135763306775321399","article-title":"Remote ophthalmology services: Cost comparison of telemedicine and alternative service delivery options","volume":"12","author":"Kumar","year":"2006","journal-title":"J Telemed Telecare"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3194_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:10:44Z","timestamp":1787760644000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3194_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_3194_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-12-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}