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Ophthalmology AND telemedicine

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https://www.readbyqxmd.com/read/27685535/influence-of-computer-generated-mosaic-photographs-on-retinopathy-of-prematurity-diagnosis-and-management
#1
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...
September 29, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27444188/real-time-teleophthalmology-versus-face-to-face-consultation-a-systematic-review
#2
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...
July 20, 2016: 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
#3
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...
May 26, 2016: 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
#4
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
#5
Mary G Lynch, April Y Maa
No abstract text is available yet for this article.
March 24, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/26807627/smartphone-based-dilated-fundus-photography-and-near-visual-acuity-testing-as-inexpensive-screening-tools-to-detect-referral-warranted-diabetic-eye-disease
#6
Brian C Toy, David J Myung, Lingmin He, Carolyn K Pan, Robert T Chang, Alison Polkinhorne, Douglas Merrell, Doug Foster, Mark S Blumenkranz
PURPOSE: To compare clinical assessment of diabetic eye disease by standard dilated examination with data gathered using a smartphone-based store-and-forward teleophthalmology platform. METHODS: 100 eyes of 50 adult patients with diabetes from a health care safety-net ophthalmology clinic. All patients underwent comprehensive ophthalmic examination. Concurrently, a smartphone was used to estimate near visual acuity and capture anterior and dilated posterior segment photographs, which underwent masked, standardized review...
May 2016: Retina
https://www.readbyqxmd.com/read/26618026/recent-directions-in-telemedicine-review-of-trends-in-research-and-practice
#7
REVIEW
Laurence S Wilson, Anthony J Maeder
OBJECTIVES: Healthcare is now routinely delivered by telecommunications-based services in all developed countries and an increasing number of developing countries. Telemedicine is used in many clinical specialities and across numerous healthcare settings, which range from mobile patient-centric applications to complex interactions amongst clinicians in tertiary referral hospital settings. This paper discusses some recent areas of significant development and progress in the field with the purpose of identifying strong trends in both research and practice activities...
October 2015: Healthcare Informatics Research
https://www.readbyqxmd.com/read/26538772/the-global-education-network-for-retinopathy-of-prematurity-gen-rop-development-implementation-and-evaluation-of-a-novel-tele-education-system-an-american-ophthalmological-society-thesis
#8
R V Paul Chan, Samir N Patel, Michael C Ryan, Karyn E Jonas, Susan Ostmo, Alexander D Port, Grace I Sun, Andreas K Lauer, Michael F Chiang
PURPOSE: To describe the design, implementation, and evaluation of a tele-education system developed to improve diagnostic competency in retinopathy of prematurity (ROP) by ophthalmology residents. METHODS: A secure Web-based tele-education system was developed utilizing a repository of over 2,500 unique image sets of ROP. For each image set used in the system, a reference standard ROP diagnosis was established. Performance by ophthalmology residents (postgraduate years 2 to 4) from the United States and Canada in taking the ROP tele-education program was prospectively evaluated...
2015: Transactions of the American Ophthalmological Society
https://www.readbyqxmd.com/read/26407990/tele-ophthalmology-opportunities-for-improving-diabetes-eye-care-in-resource-and-specialist-limited-sub-saharan-african-countries
#9
Alice Matimba, Richmond Woodward, Ernest Tambo, Michele Ramsay, Lovemore Gwanzura, Solomon Guramatunhu
Tele-ophthalmology using portable retinal imaging technology, mobile phone and Internet connectivity offers a solution to improve access to diabetic retinopathy (DR) screening services in sub-Saharan African (SSA) countries where the burden of diabetes is increasing and there is limited access to eye care services and specialists. The Zimbabwe Retinopathy Telemedicine Project (ZRTP) established routine DR screening at a hospital-based diabetic clinic in the urban capital city, Harare. A handheld 'point and shoot' digital camera operated by a trained nurse was used to acquire retina images of 203 diabetic patients...
July 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26329308/telerehabilitation-for-people-with-low-vision
#10
REVIEW
Ava K Bittner, Stephanie L Wykstra, Patrick D Yoshinaga, Tianjing Li
BACKGROUND: Low vision affects over 300 million people worldwide and can compromise both activities of daily living and quality of life. Rehabilitative training and vision assistive equipment (VAE) may help, but some visually impaired people have limited resources to attend in-person visits at rehabilitation clinics. These people may be able to overcome barriers to care through remote, Internet-based consultation (i.e., telerehabilitation). OBJECTIVES: To compare the effects of telerehabilitation with face-to-face (e...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26248715/smartphone-image-acquisition-during-postmortem-monocular-indirect-ophthalmoscopy
#11
Patrick E Lantz, Candace H Schoppe, Kirk L Thibault, William T Porter
The medical usefulness of smartphones continues to evolve as third-party applications exploit and expand on the smartphones' interface and capabilities. This technical report describes smartphone still-image capture techniques and video-sequence recording capabilities during postmortem monocular indirect ophthalmoscopy. Using these devices and techniques, practitioners can create photographic documentation of fundal findings, clinically and at autopsy, without the expense of a retinal camera. Smartphone image acquisition of fundal abnormalities can promote ophthalmological telemedicine--especially in regions or countries with limited resources--and facilitate prompt, accurate, and unbiased documentation of retinal hemorrhages in infants and young children...
January 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/26164973/-screening-of-diabetic-retinopathy-and-maculopathy-in-lebanese-population-using-retinography-and-sd-oct-the-role-of-telemedicine
#12
Elias Chelala, Nadine Saleh, Ali Dirani, Ali Fadlallah, Patrick Baz, Elise Slim, Georges Halaby, Riad Bejjani
PURPOSE: Diabetes and diabetic retinopathy (DR) are nowadays a major public health threat. The aim of this study is the screening of DR and diabetic maculopathy (DM) in a primary medical care center in Lebanon. We study also the interest of retinography and of SD-OCT in a telemedicine screening program. METHODS: This is a transversal study of patients with type 2 diabetes and with a regular follow-up in a primary medical care center in Beirut. For every patient, a retinography and an SD-OCT of the macula were obtained...
April 2015: Le Journal Médical Libanais. the Lebanese Medical Journal
https://www.readbyqxmd.com/read/25949074/telemedicine-in-diabetic-retinopathy-current-status-and-future-directions
#13
REVIEW
Taraprasad Das, Rajiv Raman, Kim Ramasamy, Padmaja Kumari Rani
Telemedicine is exchange of medical data by electronic telecommunications technology that allows a patient's medical problems evaluated and monitored by a remotely located physician. Over the years, telemedicine and telescreening have become important components in health care, in both disease detection and treatment. Highly visual and image intensive ophthalmology is uniquely suited for telemedicine. Because of rising disease burden coupled with high opportunity cost in detection, diabetic retinopathy is an ideal ophthalmic disease for telescreening and decision-making...
April 2015: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/25759962/diabetic-retinopathy-screening-and-the-use-of-telemedicine
#14
REVIEW
Ingrid E Zimmer-Galler, Alan E Kimura, Sunil Gupta
PURPOSE OF REVIEW: Evidence-based practice guidelines and treatments are highly effective in reducing vision loss from diabetic retinopathy. However, less than half of the total number of patients with diabetes mellitus receive recommended annual retinal evaluations, and vision loss due to diabetic retinopathy remains the leading cause of blindness in adults. Poor adherence to screening recommendations stems from a number of challenges which telemedicine technology may address to increase the evaluation rates and ultimately reduce vision loss...
May 2015: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/25635290/eye-care-providers-attitudes-towards-tele-ophthalmology
#15
Maria A Woodward, Patricia Ple-Plakon, Taylor Blachley, David C Musch, Paula Anne Newman-Casey, Lindsey B De Lott, Paul P Lee
BACKGROUND: The rapid rise of e-health and remote care systems will likely change the practice patterns of ophthalmologists. Although telemedicine practices are thriving in many specialties of medicine, telemedicine for ophthalmology has been limited primarily to asynchronous care for diabetic retinopathy. The goal of this research was to evaluate perspectives on and familiarity with telemedicine among eye care providers at a large tertiary-care medical center via an anonymous, descriptive survey...
April 2015: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/25548330/telemedicine-for-evaluation-of-retinopathy-of-prematurity
#16
REVIEW
Walter M Fierson, Antonio Capone
Retinopathy of prematurity (ROP) remains a significant threat to vision for extremely premature infants despite the availability of therapeutic modalities capable, in most cases, of managing this disorder. It has been shown in many controlled trials that application of therapies at the appropriate time is essential to successful outcomes in premature infants affected by ROP. Bedside binocular indirect ophthalmoscopy has been the standard technique for diagnosis and monitoring of ROP in these patients. However, implementation of routine use of this screening method for at-risk premature infants has presented challenges within our existing care systems, including relative local scarcity of qualified ophthalmologist examiners in some locations and the remote location of some NICUs...
January 2015: Pediatrics
https://www.readbyqxmd.com/read/25412344/telemedicine-screening-for-cytomegalovirus-retinitis-at-the-point-of-care-for-human-immunodeficiency-virus-infection
#17
Choeng Jirawison, Michael Yen, Prattana Leenasirimakul, Jenny Chen, Siripim Guadanant, Paradee Kunavisarut, Direk Patikulsila, Nawat Watanachai, Somsanguan Ausayakhun, David Heiden, Gary N Holland, Todd P Margolis, Jeremy D Keenan
IMPORTANCE: Cytomegalovirus (CMV) retinitis is a leading cause of blindness in many developing countries, likely the result of inadequate screening. Telemedicine screening for CMV retinitis instituted at the point of care for human immunodeficiency virus (HIV) infection may allow for earlier detection. OBJECTIVES: To determine the diagnostic accuracy of retinal photography in detecting CMV retinitis at the point of HIV care and to characterize the clinical manifestations of CMV retinitis detected through the screening program...
February 2015: JAMA Ophthalmology
https://www.readbyqxmd.com/read/25349110/how-accurate-is-the-diagnosis-of-diabetic-retinopathy-on-telescreening-the-indian-scenario
#18
RANDOMIZED CONTROLLED TRIAL
Rajiv Raman, Deepak N Bhojwani, Tarun Sharma
CONTEXT: Diabetes mellitus is a healthcare burden in India. Seventy-four percent of India's population lives in rural areas with limited access to healthcare resources. Telemedicine can play a big role in screening people with diabetes at grassroots level. In the telescreening model, single field 45-degree photographs are used for detecting diabetic retinopathy. The American Academy of Ophthalmology does not recommends single-field fundus photography as an adequate substitute for a comprehensive ophthalmic examination because it may lead to a higher rate of underdiagnosis...
2014: Rural and Remote Health
https://www.readbyqxmd.com/read/25130894/the-promise-of-telemedicine
#19
Michael J Newton
We have developed an extraordinary capability to capture and transmit digital ocular imaging, enabling remote interpretation of every aspect of the eye. The issues regarding telemedicine were primarily technical and procedural when this journal first reviewed the topic in 1999. Fourteen years later, telemedicine presents strikingly different challenges-legal, ethical, and professional. Some "tele-ophthalmology" applications have now become a reliable part of daily practice. Although it offers improved health care at lower cost to more people, telemedicine could also radically transform the traditional doctor-patient interaction...
September 2014: Survey of Ophthalmology
https://www.readbyqxmd.com/read/24972380/exudate-detection-in-color-retinal-images-for-mass-screening-of-diabetic-retinopathy
#20
Xiwei Zhang, Guillaume Thibault, Etienne Decencière, Beatriz Marcotegui, Bruno Laÿ, Ronan Danno, Guy Cazuguel, Gwénolé Quellec, Mathieu Lamard, Pascale Massin, Agnès Chabouis, Zeynep Victor, Ali Erginay
The automatic detection of exudates in color eye fundus images is an important task in applications such as diabetic retinopathy screening. The presented work has been undertaken in the framework of the TeleOphta project, whose main objective is to automatically detect normal exams in a tele-ophthalmology network, thus reducing the burden on the readers. A new clinical database, e-ophtha EX, containing precisely manually contoured exudates, is introduced. As opposed to previously available databases, e-ophtha EX is very heterogeneous...
October 2014: Medical Image Analysis
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