Diagnosis and Management of Strabismus Using Telemedicine

Helveston, Eugene M.; Neely, Daniel E.; Cherwek, David Hunter; Smallwood, Lynda M.

doi:10.1089/tmj.2007.0086

Cited by 19 publications

(18 citation statements)

References 4 publications

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“…More often, the queries were from physicians of resource-limited origins and were responded to by a network of international experts. All of such cases were asynchronous and web-based teleconsultations ( 48 - 51 ).…”

Section: Resultsmentioning

confidence: 99%

“…Of them, two were in the teledermatology areas that used a semi-structured form ( 60 ) and an online structured pre-consultation questionnaire (mostly to educate medical trainees) ( 61 ). In another case, a web-based structured format to upload patient-related information was established to determine the effect of teleconsultation in cases of strabismus ( 48 ). In two other cases, a structured interview was performed in acute stroke care by telephone consultation ( 62 ) and a standardized query form (including all relevant clinical information) were designed for teledermatology consultation ( 52 ).…”

Section: Resultsmentioning

confidence: 99%

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Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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Background:The goal of teleconsultation is to omit geographical and functional distance between two or more geographically separated health care providers. The purpose of present study is to review and analyze physician-physician teleconsultations. Method: The PubMed electronic database was searched. The primary search was done on January 2015 and was updated on December 2015. A fetch and tag plan was designed by the researchers using an online Zotero library. Results: 174 full-text articles of 1702 records met inclusion criteria. Teleconsultation for pediatric patients accounts for 14.36 percent of accepted articles. Surgery and general medicine were the most prevalent medical fields in the adults and pediatrics, respectively. Most teleconsultations were inland experiences (no=135), and the USA, Italy and Australia were the three top countries in this group. Non-specialists health care providers/centers were the dominant group who requested teleconsultation (no=130). Real time, store and forward, and hybrid technologies were used in 50, 31, and 16.7 percent of articles, respectively. The teleconsultation were reported to result in change in treatment plan, referral or evacuation rate, change in diagnosis, educational effects, and rapid decision making. Use of structured or semi-structured template had been noticed only in a very few articles. Conclusion: The present study focused on the recent ten years of published articles on physician-physician teleconsultations. Our findings showed that although there are positive impacts of teleconsultation as improving patient management, still have gaps that need to be repaired.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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“…There was high diagnostic concordance between mentor and the remote ophthalmologist; however, there was only treatment plan agreement 50% of the time. 86 Non-diabetic retinal disease. Our review showed that teleophthalmic MOCs have also been used for patients with non-diabetic retinal disease.…”

Section: Disease-specific Mocsmentioning

confidence: 99%

Models of care in tele-ophthalmology: A scoping review

et al. 2017

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The objective of this review was to identify and describe telehealth models of care for ophthalmic services. We conducted a scoping review of the literature to identify how ophthalmic care can be delivered by telehealth. We searched the PubMed database to identify relevant articles which were screened based on pre-defined inclusion criteria. For included articles, data were extracted, categorised and analysed. Synthesis of findings was performed narratively. The scoping review included 78 articles describing 62 discrete tele-ophthalmic models of care. Tele-ophthalmic models of care can be used for consultative service, screening, triage and remote supervision. The majority of services were for general eye care and triage ( n = 17; 26%) or emergency services ( n = 8; 12%). The most common conditions for disease-specific models of care were diabetic retinopathy ( n = 14; 21%), and glaucoma ( n = 8; 12%). Most models of care involved local clinicians capturing images and transmitting them to an ophthalmologist for assessment. This scoping review demonstrated tele-ophthalmology to be feasible for consultation, screening, triage and remote supervision applications across a broad range of ophthalmic conditions. A large number of models of care have been identified and described in this review. Considerable collaboration between patient-end clinicians and substantial infrastructure is typically required for tele-ophthalmology.

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“…ORBIS International is a non-profit humanitarian organisation, which works with local communities and institutions to build eye health infrastructure and deliver sustainable, high-quality eye care. 4 The capacity building activities include short term teaching programmes, a flying eye hospital and web-based consultations. The web consulting system (Cyber-Sight) connects partner physicians with mentor physicians.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003–2011

et al. 2014

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ORBIS International has provided a web-based ophthalmic disease consultation service, Cyber-Sight, for developing nations since 2003. The system connects partner physicians with mentor physicians. We have reviewed consultations concerning retinal cases submitted from June 2003 to December 2011. Of 943 retinal consultations reviewed, 117 were excluded, mainly for reasons of technical limitations at the partner sites. Of the 826 included cases, 504 patients were male and 322 were female. The average age of the patients was 43 years (range 2 months to 86 years). Cases were submitted from partner physicians in 30 countries, with five countries accounting for 82% of the cases (India, Vietnam, Indonesia, China, Jordan). There was a rise in the case submission rate to a peak of 251 cases in 2010. The mean consultant response time was 5 days (SD 9). The mean time to case closure was 19 days (SD 92). The most common diagnoses were diabetic retinopathy (n = 101), retinal vascular occlusion (n = 75) and retinal detachment (n = 61). The working diagnosis submitted by the partner did not match the mentor's diagnosis in 153 cases (19%). The number of incorrect initial partner diagnoses demonstrates that the teleretinal programme serves a useful diagnostic role for partner physicians. The Cyber-Sight programme is a viable method of delivering advanced retinal expertise to partner institutions and increasing capacity for partner doctors in the developing world.

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Diagnosis and Management of Strabismus Using Telemedicine

Cited by 19 publications

References 4 publications

Teleconsultation and Clinical Decision Making: a Systematic Review

Teleconsultation and Clinical Decision Making: a Systematic Review

Models of care in tele-ophthalmology: A scoping review

Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003–2011

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