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  • 1
    ISSN: 1573-2630
    Keywords: observer variability ; cataract ; classification ; grading ; Kappa statistic
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Intra-observer (within observers) and inter-observer (between observers) variability of the Oxford Clinical Cataract Classification and Grading System were studied. Twenty cataracts were examined and scored independently by four observers. On a separate occasion two of the observers repeated the assessments of the same cataracts in the absence of information from the initial observations. The chance corrected and weighted kappa statistics for observer agreement, both for inter-observer and intra-observer variability demonstrated satisfactory repeatibility of the cataract grading system. The overall intra-observer mean weighted kappa was χw = +0.68 (range SE χ = 0.012–0.052) and the overall inter-observer mean weighted kappa was χw = +0.55 (range SE χ = 0.011–0.043).
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International ophthalmology 11 (1988), S. 139-149 
    ISSN: 1573-2630
    Keywords: lens ; colour ; brunescence ; grading ; age
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The nuclear colour of in vivo human lenses has been investigated by means of a colour matching technique, using ‘Munsell’ colour samples. Observations covered an extended age range, and included all degrees of nuclear pigmentation. A positive correlation was noted between increasing nuclear pigmentation and age. The colour matching data generated was used as a basis for establishing a system of nuclear brunescence grading. The system of grading consists of a Grade 0 for absence of brunescence, and Grade 1 to Grade 5 for increasing brunescence. The ‘Munsell’ notation for samples representing these grades are: Grade 0 (5GY 6/1), Grade 1 (5Y 7/4), Grade 2 (2.5Y 7/8), Grade 3 (7.5YR 6/8), Grade 4 (5YR 4/6), and Grade 5 (2.5YR 2.5/2). Assessments of both inter- and intra-observer variability in the use of the derived scale have shown the new colour grading system to be reliable. The measure is simple to use during biomicroscopic slit-lamp examination of the lens, and has the potential for routine clinical application as well as for use in clinical trials where detailed documentation of lens morphology is required. The new colour scale may be used either as an isolated measure, or as part of a battery of lens measures in the Oxford Clinical Cataract Classification and Grading system.
    Type of Medium: Electronic Resource
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