Screening for sight threatening eye disease

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# Calculation of sensitivity is misleading {#article-title-2} EDITOR,—We disagree with the statement by S P Harding and colleagues that “on the evidence currently available … photographic screening … is the method of choice for purchasers of health care.”1 Their study shows that photography had a higher sensitivity than ophthalmoscopy in detecting diabetic eye disease (89% v 65%). The sensitivity in detecting sight threatening retinopathy or sight threatening maculopathy, however, was the same (56%) …