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Non-invasive instrument-based tests for quantifying anterior chamber flare in uveitis: a systematic review

Liu, Xiaoxuan
McNally, Thomas W
Beese, Sophie
Downie, Laura E
Solebo, Ameenat L
Faes, Livia
Husain, Syed
Keane, Pearse A
Moore, David J
Denniston, Alastair K
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2020-04-07
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Abstract
Purpose: Anterior chamber (AC) flare is a key sign for anterior uveitis. New instrument-based techniques for measuring AC flare can offer automation and objectivity. This review aims to identify objective instrument-based measures for AC flare.Methods: In this systematic review, we identified studies reporting correlation between instrument-based tests versus clinician AC flare grading, and/or aqueous protein concentration, as well as test reliability.Results: Four index tests were identified in 11 studies: laser-flare photometry (LFP), optical coherence tomography, ocular flare analysis meter (OFAM) and the double-pass technique. The correlation between LFP and clinician grading was 0.40-0.93 and 0.87-0.94 for LFP and protein concentration. The double-pass technique showed no correlation with clinician grading and insufficient information was available for OFAM.Conclusion: LFP shows moderate to strong correlation with clinician grading and aqueous protein concentration. LFP could be a superior reference test compared to clinician AC flare grading for validating new index tests.
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Liu X, McNally TW, Beese S, Downie LE, Solebo AL, Faes L, Husain S, Keane PA, Moore DJ, Denniston AK. Non-invasive Instrument-Based Tests for Quantifying Anterior Chamber Flare in Uveitis: A Systematic Review. Ocul Immunol Inflamm. 2021 Jul 4;29(5):982-990. doi: 10.1080/09273948.2019.1709650. Epub 2020 Apr 7
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