Military Teleophthalmology in Afghanistan Using Mobile Phone Application

Gensheimer, William G.; Miller, Keith; Stowe, Jennifer S; Little, Jeanette R; Legault, Gary L

doi:10.1001/jamaophthalmol.2020.3090

Cited by 16 publications

(11 citation statements)

References 13 publications

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“…Nevertheless, the usefulness of teleconsultation during lockdown periods as in pandemics or in remote inaccessible situations is evident. [ 22 ] However, it cannot replace slit-lamp and fundus examination in the evaluation of uveitis patients, which is a major limitation of our study. Estimation of anterior chamber cells and vitreous haze could not be assessed.…”

Section: Discussionmentioning

confidence: 99%

Trends in teleconsultations for uveitis during the COVID-19 lockdown

Mahendradas¹,

Sethu

Jayadev

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To study the use of teleophthalmology as a tool to manage patients with uveitis and to describe the experience of teleconsultation for uveitis at a tertiary eye care hospital in India during the two waves of the COVID-19 pandemic. Methods: A prospective observational case series of uveitis patients seeking teleconsultations during the first (March 25–May 2020) and second lockdown (April 27 to June 21, 2021) in a tertiary eye care center were analyzed. Results: There were 79 teleconsultations in the first and 89 teleconsultations in the second lockdown. A majority of the patients presented in the age group of 41–60 years in both the lockdowns. There were both new or primary consultations and follow-up patients (6% vs. 94%) in the first lockdown, and similarly in the second lockdown (8% new vs. 92% follow-up). The majority of patients resided in Bengaluru city (78% in the first and 76% in the second lockdown). After evaluation through video consultation, only 15% required a hospital referral in the first lockdown, whereas in the second lockdown, 21.3% were referred to the hospital. During the second lockdown, 20% presented with COVID-19 infection-related ailments. Conclusion: Based on our preliminary experience using a customized smartphone-based application for teleconsultation, we found it to be an alternative option to provide continuation of ophthalmic care to uveitis patients. Given the current COVID-19 situation, it can help avoid physical visits of uveitis patients to the hospital.

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Section: Discussionmentioning

confidence: 99%

Trends in teleconsultations for uveitis during the COVID-19 lockdown

Mahendradas¹,

Sethu

Jayadev

et al. 2022

Indian Journal of Ophthalmology

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“…Mobile (mHealth) solutions provide access to isolated patients, either in hostile or underserved areas, during the pandemic. In Afghanistan, the mobile eye care app FOXTROT was used by the US Army to assess eye trauma, showing eternal segment and corneal trauma as the most frequent teleconsultations [ 52 ]. These mobile solutions saw increased uptake in certain subspecialties, such as neuro-ophthalmology [ 53 ].…”

Section: Enhancing Virtual Eye Care With Technologymentioning

confidence: 99%

Surfing the COVID-19 Tsunami with Teleophthalmology: the Advent of New Models of Eye Care

Ricur

Reyes

Alfonso

et al. 2023

Curr Ophthalmol Rep

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Purpose of Review In this article, we reviewed the impact resulting from the COVID-19 pandemic on the traditional model of care in ophthalmology. Recent Findings Though virtual eye care has been present for more than 20 years, the COVID-19 pandemic has established a precedent to seriously consider its role in the evolving paradigm of vision and eye care. New hybrid models of care have enhanced or replaced traditional synchronous and asynchronous visits. The increased use of smart phoneography and mobile applications enhanced the remote examination of patients. Use of e-learning became a mainstream tool to continue accessing education and training. Summary Teleophthalmology has demonstrated its value for screening, examining, diagnosing, monitoring treatment, and increasing access to education. However, much of the progress made following the COVID-19 pandemic is at risk of being lost as society pushes to reestablish normalcy. Further studies during the new norm are required to prove a more permanent role for virtual eye care.

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“…59 There was one program identified from the United States: a general photography email consultation for deployed military personnel in the Middle East in order to gain rapid access to specialist services. 60 Disease Specific Models of Care (MOCs)…”

Section: Emergency Eye Carementioning

confidence: 99%

A Systematic Review of Current Teleophthalmology Services in New Zealand Compared to the Four Comparable Countries of the United Kingdom, Australia, United States of America (USA) and Canada

Walsh¹,

Hong²,

Chalakkal³

et al. 2021

OPTH

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Background: Over 700,000 New Zealanders (NZ), particularly elderly and Māori, live without timely access to specialist ophthalmology services. Teleophthalmology is a widely recognised tool that can assist in overcoming resource and distance barriers. Teleophthalmology gained unprecedented traction in NZ during the COVID-19 pandemic and subsequent lockdown. However, its provision is still limited and there are equity issues. The aim of this study was to conduct a systematic review identifying, describing and contrasting teleophthalmology services in NZ with the comparable countries of Australia, USA, Canada and the United Kingdom. Methods: The electronic databases Embase, PubMed, Web of Science, Google Scholar and Google were systemically searched using the keywords: telemedicine, ophthalmology, teleophthalmology/teleophthalmology. The searches were filtered to the countries above, with no time constraints. An integrative approach was used to synthesise findings. Results: One hundred and thirty-two studies were identified describing 90 discrete teleophthalmology services. Articles spanned from 1997 to 2020. Models were categorised into general eye care (n=21; 16%); emergency/trauma (n=6; 4.5%); school screening (n=25; 19%); artificial intelligence (AI) (n=23; 18%); and disease-specific models of care (MOC) (n=57; 43%). The most common diseases addressed were diabetic retinopathy (n=23; 17%); retinopathy of prematurity (n=9; 7%); and glaucoma (n=8; 6%). Programs were mainly centred in the US (n=72; 54.5%), followed by the UK (n=29; 22%), then Canada (n=16; 12%), Australia (n=13; 10%), with the fewest identified in NZ (n=3; 2%). Models generally involved an ophthalmologist consultative service, remote supervision and triaging. Most models involved local clinicians transmitting fed-forward or live images. Conclusion: Teleophthalmology will likely play a crucial role in the future of eye care. COVID-19 has offered a unique opportunity to observe the use of teleophthalmology services globally. Feed-forward and, increasingly, live-based teleophthalmology services have demonstrated feasibility and cost-effectiveness in similar countries internationally. New Zealand's teleophthalmology services, however, are currently limited. Investing in strategic partnerships and technology at a national level can advance health equities in ophthalmic care.

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Military Teleophthalmology in Afghanistan Using Mobile Phone Application

Cited by 16 publications

References 13 publications

Trends in teleconsultations for uveitis during the COVID-19 lockdown

Trends in teleconsultations for uveitis during the COVID-19 lockdown

Surfing the COVID-19 Tsunami with Teleophthalmology: the Advent of New Models of Eye Care

A Systematic Review of Current Teleophthalmology Services in New Zealand Compared to the Four Comparable Countries of the United Kingdom, Australia, United States of America (USA) and Canada

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