Journal article

Multirater Validation of Peripapillary Hyperreflective Ovoid Mass-like Structures (PHOMS)


Authors listPetzold, Axel; Biousse, Valerie; Bursztyn, Lulu; Costello, Fiona; Crum, Alison; Digre, Kathleen; Fraser, Clare; Fraser, J. Alex; Katz, Bradley; Jurkute, Neringa; Newman, Nancy; Lautrup-Battistini, Jette; Lawlor, Mitchell; Liskova, Petra; Lorenz, Birgit; Malmqvist, Lasse; Peragallo, Jason; Sibony, Patrick; Subramanian, Prem; Rejdak, Robert; Nowomiejska, Katarzyna; Touitou, Valerie; Warner, Judith; Wegener, Marianne; Wong, Sui; Yu-Wai-Man, Patrick; Hamann, Steffen

Publication year2020

Pages413-414

JournalNeuro-Ophthalmology

Volume number44

Issue number6

ISSN0165-8107

eISSN1744-506X

Open access statusGreen

DOI Linkhttps://doi.org/10.1080/01658107.2020.1760891

PublisherTaylor and Francis Group


Abstract
Peripapillary hyperreflective ovoid mass-like structures (PHOMS) are a new retinal optical coherence tomography (OCT) finding. TheOptic Disc Drusen Studies Consortiumhad made recommendations to distinguish PHOMS from true optic disc drusen (ODD) in 2018. While publications on PHOMS have increased since then, the accuracy of the definition of PHOMS and reliability of detection is unknown. In this multi-rater study, we demonstrate that the 2018 definition of PHOMS resulted in a poor multi-rater kappa of 0.356. We performed a Delphi consensus process to develop a consistent and refined definition of PHOMS with clear principles around the nature of PHOMS and how they differ from normal anatomy. Fifty explanatory teaching slides, provided as supplementary material, allowed our expert group of raters to achieve a good level of agreement (kappa 0.701, 50 OCT scans, 21 raters). We recommend adopting the refined definition for PHOMS.



Citation Styles

Harvard Citation stylePetzold, A., Biousse, V., Bursztyn, L., Costello, F., Crum, A., Digre, K., et al. (2020) Multirater Validation of Peripapillary Hyperreflective Ovoid Mass-like Structures (PHOMS), Neuro-Ophthalmology, 44(6), pp. 413-414. https://doi.org/10.1080/01658107.2020.1760891

APA Citation stylePetzold, A., Biousse, V., Bursztyn, L., Costello, F., Crum, A., Digre, K., Fraser, C., Fraser, J., Katz, B., Jurkute, N., Newman, N., Lautrup-Battistini, J., Lawlor, M., Liskova, P., Lorenz, B., Malmqvist, L., Peragallo, J., Sibony, P., Subramanian, P., ...Hamann, S. (2020). Multirater Validation of Peripapillary Hyperreflective Ovoid Mass-like Structures (PHOMS). Neuro-Ophthalmology. 44(6), 413-414. https://doi.org/10.1080/01658107.2020.1760891



Keywords


ODDPHOMS


SDG Areas


Last updated on 2025-10-06 at 11:13