Digital Transformation in Ophthalmic Clinical Care During the COVID-19 Pandemic

Kim, Soyang Ella; Logeswaran, Abison; Kang, Swan; Stanojcic, Nick; Wickham, Louisa; Thomas, Peter; Li, Ji-Peng Olivia

doi:10.1097/apo.0000000000000407

Cited by 11 publications

(12 citation statements)

References 71 publications

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“…With the rapid development of big data research and digital technologies in the recent years, it is anticipated that AI-power big data analytic platforms, coupled with telemedicine, will shape the future landscape of medicine (Sim et al, 2016 ; Ting et al, 2019a ; Wu et al, 2019 ). The need for these innovative digital technologies in clinical practice was further heightened by the recent COVID-19 pandemic where all branches of healthcare services, including ophthalmology, have been severely impacted (Babu et al, 2020 ; Ting et al, 2020b , c , 2021f ; Whitelaw et al, 2020 ; Ho et al, 2021 ; Kim et al, 2021 ).…”

Section: Future Directionsmentioning

confidence: 99%

Big data in corneal diseases and cataract: Current applications and future directions

et al. 2023

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The accelerated growth in electronic health records (EHR), Internet-of-Things, mHealth, telemedicine, and artificial intelligence (AI) in the recent years have significantly fuelled the interest and development in big data research. Big data refer to complex datasets that are characterized by the attributes of “5 Vs”—variety, volume, velocity, veracity, and value. Big data analytics research has so far benefitted many fields of medicine, including ophthalmology. The availability of these big data not only allow for comprehensive and timely examinations of the epidemiology, trends, characteristics, outcomes, and prognostic factors of many diseases, but also enable the development of highly accurate AI algorithms in diagnosing a wide range of medical diseases as well as discovering new patterns or associations of diseases that are previously unknown to clinicians and researchers. Within the field of ophthalmology, there is a rapidly expanding pool of large clinical registries, epidemiological studies, omics studies, and biobanks through which big data can be accessed. National corneal transplant registries, genome-wide association studies, national cataract databases, and large ophthalmology-related EHR-based registries (e.g., AAO IRIS Registry) are some of the key resources. In this review, we aim to provide a succinct overview of the availability and clinical applicability of big data in ophthalmology, particularly from the perspective of corneal diseases and cataract, the synergistic potential of big data, AI technologies, internet of things, mHealth, and wearable smart devices, and the potential barriers for realizing the clinical and research potential of big data in this field.

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Section: Future Directionsmentioning

confidence: 99%

Big data in corneal diseases and cataract: Current applications and future directions

et al. 2023

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“…Like all other medical specialties, ophthalmology has witnessed significant changes and impacts brought by COV-ID-19 to its clinical practice. 8,9 Trends in ophthalmic emergency department visits have changed during the COVID-19 pandemic due to the aberrancy in social activities. 10 Nevertheless, there were discordant results from different studies evaluating ocular trauma during this pandemic.…”

Section: Introductionmentioning

confidence: 99%

Ocular Trauma During COVID-19 Pandemic: A Systematic Review and Meta-analysis

Liang

Zhang

Chen

et al. 2022

Asia-Pacific Journal of Ophthalmology

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Purpose: This study aimed to summarize the latest literature on the trends and incidence of ocular trauma during the COVID-19 pandemic. Design: Systematic review and meta-analysis. Methods: A systematic literature search was conducted to identify the relevant literature. The search period was between January 1, 2020, and September 20, 2021. The incidence of overall and various types of ocular trauma during the COVID-19 pandemic and the control period was analyzed. The data from different studies were pooled. The odds ratio (OR) and 95% confidence interval (CI) were calculated. Results: A total of 32 articles were included. After pooling the data from all included studies, the incidence of total and pediatric ocular trauma during the COVID-19 pandemic was 67.7% and 54.3% of those in the control period, respectively. However, the proportion of ocular trauma in eye emergency visits increased during the pandemic (OR, 95% CI: 1.46, 1.04–2.06). The proportion of domestic ocular trauma increased (OR, 95% CI: 3.42, 1.01–11.62), while ocular trauma related to sports and outdoor activities and occupational ocular trauma decreased (OR, 95% CI: 0.64, 0.09–4.29 and 0.18, 0.10–0.33, respectively). It was also reported that chemical injury caused by alcohol-based sanitizers, photokeratitis caused by ultraviolet lamps, and mechanical eye injury caused by masks increased during the COVID-19 pandemic. Conclusions: There was a reduction in overall eye injuries and substantial differences in the spectrum of ocular trauma during the COVID-19 pandemic. Proper health education and supervision should be strengthened to prevent ocular injuries related to COVID-19 preventive interventions.

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“…Within the field of retina, telemedicine and self-monitoring technology provided innovative solutions for patients and providers while taking into account public health safety. These advances include optimizing patient triage with telescreening and at-home monitoring of vision impairment with mobile devices 1–3. These robust advancements also offer optimized workflow and technology for care of retinal diseases following the pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…These advances include optimizing patient triage with telescreening and at-home monitoring of vision impairment with mobile devices. [1][2][3] These robust advancements also offer optimized workflow and technology for care of retinal diseases following the pandemic. In this article we review longstanding, practical changes that are likely to become integrated into the standard retinal models of care in the post-COVID-19 era.…”

Section: Introductionmentioning

confidence: 99%

Digital Advancements in Retinal Models of Care in the Post–COVID-19 Lockdown Era

Ong

Tan

Ang

et al. 2022

Asia-Pacific Journal of Ophthalmology

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The coronavirus disease–2019 (COVID-19) pandemic introduced unique barriers to retinal care including limited access to imaging modalities, ophthalmic clinicians, and direct medical interventions. These unprecedented barriers were met with the robust implementation of digital advances to aid in monitoring and efficiency of retinal care while taking into the account of public safety. Many of these innovations have been successful in maintaining efficiency and patient satisfaction and are likely to stay to help preserve vision in the future. In this article we highlight these advances implemented during the pandemic including telescreening triage, virtual retinal imaging clinics, at-home optical coherence tomography, mobile phone self-monitoring, and virtual reality monitoring technology. We also discuss advancing innovations including Internet of Things and Blockchain technology that will be critical for further implementation and security of these digital advancements.

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Digital Transformation in Ophthalmic Clinical Care During the COVID-19 Pandemic

Cited by 11 publications

References 71 publications

Big data in corneal diseases and cataract: Current applications and future directions

Big data in corneal diseases and cataract: Current applications and future directions

Ocular Trauma During COVID-19 Pandemic: A Systematic Review and Meta-analysis

Digital Advancements in Retinal Models of Care in the Post–COVID-19 Lockdown Era

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