Telehealth in Ophthalmology

Yuen, J. C.; Pike, Sarah M.; Khachikyan, Steve; Nallasamy, Sudha

doi:10.36255/exon-publications-digital-health-telehealth-ophthalmology

Cited by 8 publications

(5 citation statements)

References 83 publications

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“…The included studies and reports were published between 1998 and 2023 and consisted of introductions of a new device/technique ( n = 13) [ 6 – 18 ], prospective diagnostic accuracy studies ( n = 18) [ 19 – 36 ], retrospective diagnostic accuracy studies ( n = 5) [ 37 – 41 ], cross-sectional descriptive studies ( n = 5) [ 42 – 46 ], image quality studies ( n = 9) [ 47 – 55 ], a case series ( n = 1) [ 56 ], an animal study ( n = 1) [ 57 ], and reviews ( n = 10) [ 58 – 67 ]. After excluding the review articles, the largest number of studies were conducted in the United States ( n = 13) and India ( n = 13) (Fig.…”

Section: Resultsmentioning

confidence: 99%

Telemedicine for Cornea and External Disease: A Scoping Review of Imaging Devices

Cao

Keenan

2023

Ophthalmol Ther

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Objective: The objective of this scoping review is to understand the extent and type of evidence in relation to telemedicine imaging devices for cornea and external segment conditions. Introduction: The coronavirus pandemic has emphasized the benefits of telemedicine in diagnosing and managing ocular diseases. With the rapid advancement of technology in slit lamp biomicroscopes, smartphones and other ocular surface imaging modalities, telemedicine applications for cornea and external diseases have become an active area of research. Inclusion Criteria: For studies to be included, they had to discuss the concept of imaging devices for cornea and external diseases in the context of telemedicine. There was no restriction on the studied population or participants.Methods: A scoping review was conducted according to an a priori protocol. Documents written in English were identified from the PubMed and Embase databases and searches. Anterior segment imaging devices were then classified into different categories. Results: Anterior segment imaging devices identified in this review included 19 slit lampbased devices, 17 smartphone-based devices and 15 other devices. These tools can detect a wide variety of cornea and external diseases (e.g., pterygium, conjunctivitis, corneal opacity, corneal ulcer, and blepharitis). Fewer than half of the devices (24/51) were assessed for diagnostic performance. Their diagnostic accuracy varied greatly from condition to condition and from device to device. The inter-rater reliability of different photo-graders assessing images was assessed in only a few studies. Conclusions: Anterior segment imaging devices are promising tools for remote diagnosis and management of patients with cornea and external disease. However, there are significant gaps in the literature regarding the diagnostic accuracy and inter-rater reliability of several devices. Future research with rigorous methods is required to validate the use of these devices in telemedicine settings.

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Section: Resultsmentioning

confidence: 99%

Telemedicine for Cornea and External Disease: A Scoping Review of Imaging Devices

Cao

Keenan

2023

Ophthalmol Ther

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“…Since the first imaging of the retina in 1886 [16], there has been a continuous endeavor to achieve higher quality imaging of the retina to aid in disease diagnosis, leading to the development of a variety of fundus cameras. The emergence of the first digital camera in 1975 propelled the transition of medical records from analog to digital [17], and nonmydriatic digital fundus cameras have found successful adoption in or even outside the realm of ophthalmology clinic settings [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Evaluating imaging repeatability of fully self-service fundus photography within a community-based eye disease screening setting

Zhang,

Luo,

et al. 2024

BioMed Eng OnLine

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Purpose This study aimed to investigate the imaging repeatability of self-service fundus photography compared to traditional fundus photography performed by experienced operators. Design Prospective cross-sectional study. Methods In a community-based eye diseases screening site, we recruited 65 eyes (65 participants) from the resident population of Shanghai, China. All participants were devoid of cataract or any other conditions that could potentially compromise the quality of fundus imaging. Participants were categorized into fully self-service fundus photography or traditional fundus photography group. Image quantitative analysis software was used to extract clinically relevant indicators from the fundus images. Finally, a statistical analysis was performed to depict the imaging repeatability of fully self-service fundus photography. Results There was no statistical difference in the absolute differences, or the extents of variation of the indicators between the two groups. The extents of variation of all the measurement indicators, with the exception of the optic cup area, were below 10% in both groups. The Bland–Altman plots and multivariate analysis results were consistent with results mentioned above. Conclusions The image repeatability of fully self-service fundus photography is comparable to that of traditional fundus photography performed by professionals, demonstrating promise in large-scale eye disease screening programs.

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“…There are a lot of teleophthalmology applications that have been developed worldwide over the years. [ 23 ] Applications of teleophthalmology are either asynchronous (store and forward) or synchronous (real time). Teleophthalmology models include: general eye care; emergency/trauma; school screening; AI; and disease-specific models of care.…”

Section: T Elemedicine and T Eleophthalm...mentioning

confidence: 99%

Teleophthalmology in Saudi Arabia

Kalantan

2023

Saudi Journal of Ophthalmology

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Teleophthalmology is the provision of ophthalmic care using digital medical equipment and telecommunications technology. While teleophthalmology has been practiced since the 1990s, it became a crucial medical service during the COVID-19 pandemic when doctors were required to make diagnoses from a distance. This was certainly the case in Saudi Arabia, a relatively large country with limited medical workforce to meet demands, yet a high prevalence of diseases such as diabetes, glaucoma, and cataracts which are considered leading causes of visual impairment. In response to the pandemic, Saudi Arabia's Ministry of Health issued scientific instruction manuals and guidelines for health-care providers which paved the way for increased use of digital technologies and solutions to mitigate the health and economic impacts of COVID-19. The pandemic served to accelerate the use of virtual ophthalmology in Saudi Arabia with the most common teleophthalmology applications being teleconsultation and disease-specific applications such as diabetic retinopathy and retinopathy of prematurity. Although some challenges relating to implementing teleophthalmology in Saudi Arabia remain, it is felt that there are great opportunities to expand the use of telemedicine in ophthalmology in this country.

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Telehealth in Ophthalmology

Cited by 8 publications

References 83 publications

Telemedicine for Cornea and External Disease: A Scoping Review of Imaging Devices

Telemedicine for Cornea and External Disease: A Scoping Review of Imaging Devices

Evaluating imaging repeatability of fully self-service fundus photography within a community-based eye disease screening setting

Teleophthalmology in Saudi Arabia

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