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Ophthalmology AND telemedicine

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https://www.readbyqxmd.com/read/29137959/moving-from-clinic-to-home-what-the-future-holds-for-ophthalmic-telemedicine
#1
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...
November 11, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29081869/teleophthalmology-in-practice-lessons-learned-from-a-pilot-project
#2
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
#3
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...
September 25, 2017: Progress in Retinal and Eye Research
https://www.readbyqxmd.com/read/28860696/telemedicine-for-diabetic-retinopathy-screening-using-an-ultra-widefield-fundus-camera
#4
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
#5
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...
June 21, 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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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