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Ophthalmology telemedicine

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https://www.readbyqxmd.com/read/29621387/diagnostic-accuracy-of-ophthalmoscopy-vs-telemedicine-in-examinations-for-retinopathy-of-prematurity
#1
Hilal Biten, Travis K Redd, Chace Moleta, J Peter Campbell, Susan Ostmo, Karyn Jonas, R V Paul Chan, Michael F Chiang
Importance: Examinations for retinopathy of prematurity (ROP) are typically performed using binocular indirect ophthalmoscopy. Telemedicine studies have traditionally assessed the accuracy of telemedicine compared with ophthalmoscopy as a criterion standard. However, it is not known whether ophthalmoscopy is truly more accurate than telemedicine. Objective: To directly compare the accuracy and sensitivity of ophthalmoscopy vs telemedicine in diagnosing ROP using a consensus reference standard...
April 5, 2018: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29487825/a-systematic-review-of-teleophthalmological-studies-in-europe
#2
REVIEW
Georgios Labiris, Eirini-Kanella Panagiotopoulou, Vassilios P Kozobolis
A systematic review of the recent literature regarding a series of ocular diseases involved in European telemedicine projects was performed based on the PubMed, Google Scholar and Springer databases in June 2017. Literature review returned 44 eligible studies; among them, emergency ophthalmology, diabetic retinopathy, glaucoma, age-related macular disease, cataract and retinopathy of prematurity. The majority of studies indicate teleophthalmology as a valid, reliable and cost-efficient method for care-provision in ophthalmology patients which delivers comparable outcomes to the traditional examination methods...
2018: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29444552/optometry-facilitated-teleophthalmology-an-audit-of-the-first-year-in-western-australia
#3
Stephen E Bartnik, Stephen P Copeland, Angela J Aicken, Angus W Turner
BACKGROUND: Lions Outback Vision has run a state-wide teleophthalmology service since 2011. In September 2015 the Australian federal government introduced a Medicare reimbursement for optometry-facilitated teleophthalmology consultations under specific circumstances. This audit demonstrates the first 12 months experience with this scheme. We aim to provide practical insights for others looking to embed a telemedicine program as part of delivering outreach clinical services. METHODS: A 12-month retrospective audit was performed between September 2015 and August 2016, inclusive...
February 14, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29259912/smartphones-tele-ophthalmology-and-vision-2020
#4
REVIEW
Mehrdad Mohammadpour, Zahra Heidari, Masoud Mirghorbani, Hassan Hashemi
Telemedicine is an emerging field in recent medical achievements with rapid development. The "smartphone" availability has increased in both developed and developing countries even among people in rural and remotes areas. Tele-based services can be used for screening ophthalmic diseases and also monitoring patients with known diseases. Electronic ophthalmologic records of the patients including captured images by smartphones from anterior and posterior segments of the eye will be evaluated by ophthalmologists, and if patients require further evaluations, they will be referred to experts in the relevant field...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29137959/moving-from-clinic-to-home-what-the-future-holds-for-ophthalmic-telemedicine
#5
Nancy M Holekamp
PURPOSE: To describe the expanding role of telemedicine in healthcare, the key criteria required for a successful device and program implementation, and the current and future role of home monitoring in ophthalmology. DESIGN: Expert perspective. METHODS: Analysis with real-world interpretation of home monitoring technologies, including current adoption barriers and expanded future demands based on demographic and market forces. RESULTS: Remote patient monitoring represents a paradigm shift in the way physicians care for patients...
March 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29081869/teleophthalmology-in-practice-lessons-learned-from-a-pilot-project
#6
Haleh Ayatollahi, Aynaz Nourani, Taleb Khodaveisi, Hossein Aghaei, Mehrdad Mohammadpour
INTRODUCTION: Ophthalmology is a medical specialty which may benefit from using telemedicine and teleophthalmology services. Such services are significantly important in the poor, remote, and impassable geographical areas, where there is no access to the ophthalmology services and ophthalmologists. This study aimed to design and implement a teleophthalmology system using the method of store-and-forward. METHODS: The study was conducted in 2015 and consisted of two main phases...
2017: Open Medical Informatics Journal
https://www.readbyqxmd.com/read/28958885/pathophysiology-screening-and-treatment-of-rop-a-multi-disciplinary-perspective
#7
REVIEW
Tailoi Chan-Ling, Glen A Gole, Graham E Quinn, Samuel J Adamson, Brian A Darlow
The population of infants at risk for retinopathy of prematurity (ROP) varies by world region; in countries with well developed neonatal intensive care services, the highest risk infants are those born at less than 28 weeks gestational age (GA) and less than 1 kg at birth, while, in regions where many aspects of neonatal intensive and ophthalmological care are not routinely available, more mature infants up to 2000 g at birth and 37 weeks GA are also at risk for severe ROP. Treatment options for both groups of patients include standard retinal laser photocoagulation or, more recently, intravitreal anti-VEGF drugs...
January 2018: Progress in Retinal and Eye Research
https://www.readbyqxmd.com/read/28860696/telemedicine-for-diabetic-retinopathy-screening-using-an-ultra-widefield-fundus-camera
#8
Nazimul Hussain, Maryam Edraki, Rima Tahhan, Nishanth Sanalkumar, Sami Kenz, Nagwa Khalil Akasha, Brian Mtemererwa, Nahed Mohammed
OBJECTIVE: Telemedicine reporting of diabetic retinopathy (DR) screening using ultra-widefield (UWF) fundus camera. MATERIALS AND METHODS: Cross-sectional study of diabetic patients who visited the endocrinology department of a private multi-specialty hospital in United Arab Emirates between April 2015 and January 2017 who underwent UWF fundus imaging. Fundus pictures are then accessed at the Retina Clinic in the Department of Ophthalmology. Primary outcome measure was incidence of any form of DR detected...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28647202/the-current-state-of-teleophthalmology-in-the-united-states
#9
REVIEW
Siddarth Rathi, Edmund Tsui, Nitish Mehta, Sarwar Zahid, Joel S Schuman
Telemedicine services facilitate the evaluation, diagnosis, and management of the remote patient. Telemedicine has rapidly flourished in the United States and has improved access to care, outcomes, and patient satisfaction. However, the use of telemedicine in ophthalmology is currently in its infancy and has yet to gain wide acceptance. Current models of telemedicine in ophthalmology are largely performed via "store and forward" methods, but remote monitoring and interactive modalities exist. Although studies have examined the effects of telemedicine, few reports have characterized its current status...
December 2017: Ophthalmology
https://www.readbyqxmd.com/read/28586267/content-design-and-system-implementation-of-a-teleophthalmology-system-for-eye-disease-diagnosis-and-treatment-and-its-preliminary-practice-in-guangdong-china
#10
Di Xiao, Janardhan Vignarajan, Tingting Chen, Tiantian Ye, Baixiang Xiao, Nathan Congdon, Yogessan Kanagasingam
BACKGROUND: We have developed a new telemedicine system for comprehensive eye examination, diabetic retinopathy (DR) screening, and eye disease diagnosis and treatment. The novel points of the system include a tablet application for facilitating doctor's examination and diagnosis process, a comprehensive eye examination component, and integrated treatment planning and recording. METHODS: The system provided a new service model through one ophthalmological center linking with multiple remote and rural hospitals for eye care in Guangdong province, China...
June 6, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28520833/evaluation-of-diabetic-retinal-screening-and-factors-for-ophthalmology-referral-in-a-telemedicine-network
#11
MULTICENTER STUDY
Pooja D Jani, Lauren Forbes, Arkopal Choudhury, John S Preisser, Anthony J Viera, Seema Garg
Importance: Retinal telescreening for evaluation of diabetic retinopathy (DR) in the primary care setting may be useful in reaching rural and underserved patients. Objectives: To evaluate telemedicine retinal screenings for patients with type 1 or 2 diabetes and identify factors for ophthalmology referral in the North Carolina Diabetic Retinopathy Telemedicine Network. Design, Setting, and Participants: A preimplementation and postimplementation evaluation was conducted from January 6, 2014, to November 1, 2015, at 5 primary care clinics serving rural and underserved populations in North Carolina among 1787 adult patients with type 1 or 2 diabetes who received primary care at the clinics and obtained retinal telescreening to determine the presence and severity of DR...
July 1, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28264174/can-commercially-available-handheld-retinal-cameras-effectively-screen-diabetic-retinopathy
#12
REVIEW
Jorge Cuadros, George Bresnick
Organizations that care for people with diabetes have increasingly adopted telemedicine-based diabetic retinopathy screening (TMDRS) as a way to increase adherence to recommended retinal exams. Recently, handheld retinal cameras have emerged as a low-cost, lightweight alternative to traditional bulky tabletop retinal cameras. Few published clinical trials have been performed on handheld retinal cameras. Peer-reviewed articles about commercially available handheld retinal cameras have concluded that they are a usable alternative for TMDRS, however, the clinical results presented in these articles do not meet criteria published by the United Kingdom Diabetic Eye Screening Programme and the American Academy of Ophthalmology...
January 2017: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/28009411/systematic-screening-of-retinopathy-in-diabetes-read-project-an-italian-implementation-campaign
#13
Massimo Porta, Francesco Boscia, Paolo Lanzetta, Edoardo Mannucci, Ugo Menchini, Francesca Simonelli
PURPOSE: To evaluate the use of telemedicine retinal screening in Italy and to identify potential elements of implementation of this system. METHODS: Patients with either new-onset diabetes or no ophthalmologic visit over the previous 2 years and attending 33 referral diabetic centers between mid-April 2013 and mid December 2015 were screened. Two partially overlapping nonstereoscopic 45° digital color images were captured from each eye using a fully automated nonmydriatic digital fundus camera...
March 10, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28002690/diabsat-telemedicine-itinerant-screening-of-chronic-complications-of-diabetes-using-a-satellite
#14
Marie-Christine Turnin, Solène Schirr-Bonnans, Marie-Christine Chauchard, Patrice Deglise, Catherine Journot, Yann Lapeyre, Antonio Güell, Benoit Lepage, Helene Hanaire, Jacques Martini
BACKGROUND: Health authorities recommend regular screening for the chronic complications of diabetes. The ENTRED (*) survey results show that insufficient screening is undertaken. The DIABSAT (†) program aims to improve care for diabetes patients in rural areas of the Midi-Pyrénées region, telemonitoring complications of diabetes through an itinerant screening service. METHODS: A vehicle was equipped with a satellite dish and medical equipment for screening ophthalmological, renal, vascular, and neuropathic damage and assessing the level of risk of diabetic foot ulceration...
May 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27941470/simbu-ptosis-an-outreach-approach-to-myogenic-ptosis-in-eastern-highlands-of-papua-new-guinea-experience-and-results-from-a-high-volume-oculoplastic-surgical-camp
#15
Anna G Gushchin, Alison V Crum, Ben B Limbu, Edward P Quigley, Michael S Seward, Geoffrey C Tabin
PURPOSE: To present the results of a high-volume oculoplastic surgical outreach in a remote region of Simbu Province in the Eastern Highlands of Papua New Guinea. The authors describe the clinical features and evaluation and treatment of a novel ptosis syndrome found in this area. DESIGN: A team of 4 international ophthalmologists and 3 local doctors and 3 local nurses involved in a high-volume field intervention for all patients presenting with a bilateral ptosis to Mingende Rural Hospital...
March 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27685535/influence-of-computer-generated-mosaic-photographs-on-retinopathy-of-prematurity-diagnosis-and-management
#16
MULTICENTER STUDY
Samir N Patel, Michael A Klufas, Christina E Douglas, Karyn E Jonas, Susan Ostmo, Audina Berrocal, Antonio Capone, Maria A Martinez-Castellanos, Felix Chau, Kimberly Drenser, Philip Ferrone, Anton Orlin, Irena Tsui, Wei-Chi Wu, Mrinali P Gupta, Michael F Chiang, R V Paul Chan
Importance: Telemedicine is becoming an increasingly important component of clinical care for retinopathy of prematurity (ROP), but little information exists regarding the role of mosaic photography for ROP telemedicine diagnosis. Objective: To examine the potential effect of computer-generated mosaic photographs on the diagnosis and management of ROP. Design, Setting, and Participants: In this prospective cohort study performed from July 12, 2011, through September 21, 2015, images were acquired from ROP screening at 8 academic institutions, and ROP experts interpreted 40 sets (20 sets with individual fundus photographs with ≥3 fields and 20 computer-generated mosaic photographs) of wide-angle retinal images from infants with ROP...
November 1, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27444188/real-time-teleophthalmology-versus-face-to-face-consultation-a-systematic-review
#17
Irene J Tan, Lucy P Dobson, Stephen Bartnik, Josephine Muir, Angus W Turner
Introduction Advances in imaging capabilities and the evolution of real-time teleophthalmology have the potential to provide increased coverage to areas with limited ophthalmology services. However, there is limited research assessing the diagnostic accuracy of face-to-face teleophthalmology consultation. This systematic review aims to determine if real-time teleophthalmology provides comparable accuracy to face-to-face consultation for the diagnosis of common eye health conditions. Methods A search of PubMed, Embase, Medline and Cochrane databases and manual citation review was conducted on 6 February and 7 April 2016...
August 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27228051/telemedicine-for-a-general-screening-of-retinal-disease-using-nonmydriatic-fundus-cameras-in-optometry-centers-three-year-results
#18
Miguel A Zapata, Gabriel Arcos, Alex Fonollosa, Maximino Abraldes, Andrea Oleñik, Estanislao Gutierrez, Jose Garcia-Arumi
PURPOSE: Describe the first 3 years of highly specialized retinal screening through a web platform using a retinologists' network for image reading. METHODS: All patients who came to centers in the network and consented to fundus photography were included. Images were evaluated by ophthalmologists. We describe number of patients, age, visual acuity, retinal abnormalities, medical recommendations, and factors associated with abnormal retinographies. RESULTS: Fifty thousand three hundred eighty-four patients were included; mean age 52...
January 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27010537/supply-and-perceived-demand-for-teleophthalmology-in-triage-and-consultations-in-california-emergency-departments
#19
Lauren Wedekind, Kristin Sainani, Suzann Pershing
Importance: Determining the perceived supply and potential demand for teleophthalmology in emergency departments could help mitigate coverage gaps in emergency ophthalmic care. Objective: To evaluate the perceived current need for and availability of ophthalmologist coverage in California emergency departments and the potential effect of telemedicine for ophthalmology triage and consultation. Design, Setting, and Participants: Surveys were remotely administered to 187 of the 254 emergency departments throughout California via the telephone and Internet from June 30 to September 23, 2014...
March 24, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27010314/the-use-of-telemedicine-to-extend-ophthalmology-care
#20
Mary G Lynch, April Y Maa
No abstract text is available yet for this article.
March 24, 2016: JAMA Ophthalmology
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