Agreement and Accuracy of Papilledema and Pseudopapilledema Classification Among Pediatric Neuro-Ophthalmologists Using Optic Disc Photographs
Overall agreement was low among pediatric neuro-ophthalmologists when classifying fundus photographs of children with papilledema and pseudopapilledema. When interpreting low-grade papilledema images, inaccurate agreement and disagreement were more likely than accurate agreement among experts. Our study highlights the limitations of interpreting fundus photographs of children with papilledema and pseudopapilledema in isolation, stressing the importance of obtaining a complete neuro-ophthalmologic history and examination, as well as other ancillary ophthalmic imaging, to guide decision making regarding systemic workup.
Authors
- Mark Borchert (ORCID: https://orcid.org/0000-0003-4704-9795)
- Shannon Beres (ORCID: https://orcid.org/0000-0002-9524-1258)
- Eric D. Gaier (ORCID: https://orcid.org/0000-0002-2923-0024)
- Melinda Y. Chang (ORCID: https://orcid.org/0000-0002-6169-1373)
- Mark J. Phillips (ORCID: https://orcid.org/0000-0003-0324-6295)
- Stacy L. Pineles
- Gena Heidary (ORCID: https://orcid.org/0000-0002-3557-0420)
- Ryan A. Gise
- Mark W. Reid (ORCID: https://orcid.org/0000-0002-1942-225X)
Institutions
- Children's Hospital of Los Angeles (US)
Publication Details
- Journal
- Journal of Neuro-Ophthalmology
- Published
- 2025-05-15
- DOI
- https://doi.org/10.1097/wno.0000000000002316
- Citations
- 1
- Primary Topic
- Ophthalmology and Visual Health Research
- Type
- article
- Field-Weighted Citation Impact
- 1.71
Funders
- Knights Templar Eye Foundation
- Research to Prevent Blindness
- National Eye Institute