Smartphone Ophthalmoscopy: is there a place for it?

Pujari, Amar

doi:10.2147/opth.s243103

Cited by 7 publications

(5 citation statements)

References 29 publications

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“…Online teaching can provide flexibility in allowing students to access it from anywhere. If it is a recorded material, they can pause and revisit later [ 8 ]. A systematic review considering learning methods found that ‘blended’ or mixed online and in-person teaching methods showed a consistent benefit when compared to traditional learning [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 on Medical Education: A Lost Generation of Ophthalmologists?

Karia,

Bansal,

Parmar

2024

Cureus

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Purpose: COVID-19 had a significant impact on undergraduate medical education. There has been extensive analysis on the generic impact on medical education, but the individual impact on specialties, particularly ophthalmology, has not been widely researched. We explored the impact of COVID-19 on the undergraduate ophthalmology experience in the UK, characterising the effect on medical education and considered positive outcomes that could be implemented in future undergraduate curricula. Methods: An online-cross sectional study was performed using a 13-item questionnaire in 2023, completed by 101 participants from UK medical schools. This study was conducted through University College London, England. Results: Statistical and qualitative analysis revealed a significant reduction in clinical exposure during the pandemic with an almost complete shift to online lecture-based teaching. This teaching style has been adapted post-pandemic, which is impacting student confidence in dealing with ophthalmic conditions and deterring them from considering ophthalmology as a career. Conclusions: COVID-19 has exacerbated a pre-existing gap in training medical trainees to deal with ophthalmic presentations. With an increase in the proportion of undergraduate medical education taking place online, efforts should be made to ensure students have hands-on, clinical exposure especially in practical placements, such as ophthalmology.

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Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 on Medical Education: A Lost Generation of Ophthalmologists?

Karia,

Bansal,

Parmar

2024

Cureus

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“…Hence, early expert in-hospital ophthalmological examination is an essential component of a comprehensive assessment of patients with UVL. Nonmydriatic ocular fundus photography has been demonstrated to be feasible as an auxiliary tool in the emergency department including the diagnosis of retinal ischemia [ 21 , 22 ], with further technological advances likely to improve usability in various contexts [ 23 ]. Alternatively, innovations in the field of teleophthalmology [ 24 ] may allow for fundus image acquisition in the ambulance, thus enabling expert ophthalmology input at a very early stage of the patient journey.…”

Section: Discussionmentioning

confidence: 99%

Current diagnosis and treatment practice of central retinal artery occlusion: results from a survey among German stroke units

Hoyer

Winzer

Matthé

et al. 2022

Neurol. Res. Pract.

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Background Central retinal artery occlusion (CRAO) is a neuro-ophthalmological emergency whose optimal management is still under debate and due to the absence of definite guidelines, practice is expected to vary. We aimed to characterize early evaluation as well as acute treatment and diagnostic approaches in German hospitals with a stroke unit (SU). Methods In 07/2021, all 335 certified German SUs were invited to participate in an anonymous online survey endorsed by the German Stroke Society on emergency department care organization, diagnostic procedures, and treatment of patients with unilateral vision loss (UVL) subsequently diagnosed with CRAO. Results One hundred and sixty-three (48.6%) of the 335 eligible centers responded. Most (117/135; 86.7%) stated that UVL patients were treated as an emergency, in 62/138 (44.9%) hospitals according to specific guidelines. First-line evaluation was performed by neurologists in 85/136 (62.5%) hospitals, by ophthalmologists in 43/136 (31.6%) hospitals. Seventy of 135 (51.9%) respondents indicated a lack of on-site ophthalmological expertise. Seventy-four of 129 (57.4%) respondents performed thrombolysis in CRAO and 92/97 (94.8%) stated that patients with CRAO–if admitted to neurology–were treated on a SU. Conclusions Our findings reflect notable heterogeneity in early intrahospital care of CRAO in German SUs but demonstrate a preference for work-up and management as acute stroke by the involved neurologists. Streamlining interdisciplinary emergency evaluation is essential for ongoing and future prospective trials.

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“…Another study had also estimated that one out of two physicians incorporates either a smartphone or a personal digital assistant (PDA) in their work and this pattern is expected to increase [16]. However, these devices are yet to be fully applicable as quality diagnostic tools, hence they are limited to screening purposes only as of now [15].…”

Section: Smartphone-based Retinal Imaging Systemmentioning

confidence: 99%

“…Over the years, smartphone-based retinal image acquisition devices have shown its credibility in the medical eld but only up to a certain extent. Despite being affordable, portable, and e cient data transfer with expanding internet technology and arti cial intelligence in smartphones, professionals still nd this method limited to screening purposes only and bene cial only for non-ideal clinical settings [1], [14], [15]. This is because the concept of smartphone-based fundus imaging itself is still incapable of competing against reference standards in terms of image quality and sensitivity.…”

Section: Introductionmentioning

confidence: 99%

Enhancing Accessibility in Retinal Imaging through the Universal Smartphone Adapter

Latip

Kipli

Kamaruddin

et al. 2023

Preprint

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Background The revolutionary technology of smartphone-based retinal imaging has been consistently improving over the years. Smartphone-based retinal image acquisition devices are designed to be portable, and easy to use, besides being low-cost which enables eye care to be more widely accessible especially in geographically remote areas. This enables early disease detection for those who are in low- and middle- income population or just in general has very limited access to eye care. This study investigates the limitation of smartphone compatibility of existing smartphone-based retinal image acquisition devices. Additionally, this study aims to propose a universal adapter that is usable with an existing smartphone-based retinal image acquisition device, the PanOptic ophthalmoscope. This study also aims to simulate the reliability, validity, and performance overall of improved develop prototype. Existing studies have shown that the concept of smartphone-based retinal imaging is still limited to screening purposes only. Furthermore, existing smartphone-based devices also have a limited smartphone compatibility where it is only usable with specific smartphone models. Methods A literature review was conducted that identifies the limitation of smartphone compatibility among existing smartphone-based retinal image acquisition devices. Designing and modelling of proposed adapter was performed using the software AutoCAD 3D. For proposed performance evaluation, finite element analysis (FEA) in the software Autodesk Inventor and 5-point scale method were applied. Results It was identified how a universal adapter is beneficial in broadening the usability of existing smartphone-based retinal image acquisition devices as most of the devices that are available in the market have limited smartphone compatibility. A functional universal adapter was developed and found to be suitable with two smartphones that have different camera placement and dimensions. The proposed performance evaluation method was able to generate efficient stress analysis of the proposed adapter design. Conclusion The concept of a universal and suitable adapter for retinal imaging using the PanOptic ophthalmoscope was presented in this paper. Performance evaluation methods proposed were identified to be sufficient to analyze the behavior of proposed adapter when an external load is applied and determine its suitability with the PanOptic ophthalmoscope.

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Smartphone Ophthalmoscopy: is there a place for it?

Cited by 7 publications

References 29 publications

The Impact of COVID-19 on Medical Education: A Lost Generation of Ophthalmologists?

The Impact of COVID-19 on Medical Education: A Lost Generation of Ophthalmologists?

Current diagnosis and treatment practice of central retinal artery occlusion: results from a survey among German stroke units

Enhancing Accessibility in Retinal Imaging through the Universal Smartphone Adapter

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