2017
DOI: 10.1097/ico.0000000000001294
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Teleophthalmic Approach for Detection of Corneal Diseases: Accuracy and Reliability

Abstract: Purpose Corneal and anterior segment diseases cause the majority of urgent visits to eye-care professionals. We evaluated the diagnostic accuracy of detecting corneal diseases using external photographs from two portable cameras for telemedicine purposes. Methods A prospective study of adults with a clinical diagnosis of corneal pathology including corneal abrasions, ulcers, scars, and pterygia. A corneal specialist provided the gold-standard diagnosis by slit-lamp examination. Images of both eyes were obtai… Show more

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Cited by 33 publications
(32 citation statements)
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“…Remote assessment of ocular injury in animal models can accurately identify referable conditions, such as eyelid laceration and globe rupture [30]. Additionally, when provided with patient history, corneal photography in telemedicine has demonstrated modest diagnostic specificity compared with inperson slit-lamp examination [31,32], suggesting some diagnostic utility in virtual examination.…”
Section: Visual Functionmentioning
confidence: 99%
“…Remote assessment of ocular injury in animal models can accurately identify referable conditions, such as eyelid laceration and globe rupture [30]. Additionally, when provided with patient history, corneal photography in telemedicine has demonstrated modest diagnostic specificity compared with inperson slit-lamp examination [31,32], suggesting some diagnostic utility in virtual examination.…”
Section: Visual Functionmentioning
confidence: 99%
“…Prior studies on telemedicine in the diagnosis of corneal disease have focused on validating the use of portable cameras in remote evaluation of corneal disease. 20,23,24 It will be particularly exciting to explore the utility of telemedicine consultation of eye bank medical directors in determining the transplant suitability of corneal tissue-a use of telemedicine that has the potential to universally enhance tissue transplant-suitability determination by making medical director consults more accessible and more efficient.…”
Section: Discussionmentioning
confidence: 99%
“…Some investigations have validated the use of the video slit lamp or digital slit lamp images in remote evaluation of anterior segment eye diseases, 20,21 and others have relied on images obtained from portable cameras or smartphone camera attachments for remote evaluation of corneal disease. [22][23][24] To our knowledge, no prior study has described the use of telemedicine in eye bank tissue evaluation.…”
Section: Introductionmentioning
confidence: 99%
“…This technique was successful in detecting pterygium with 93.53% accuracy and 88.18% specificity [8]. A study of pterygium detection in 2017 by [66], where the ASPI was obtained from a slit-lamp camera, achieved 90% sensitivity.…”
Section: ) Towards Automated Detectionmentioning
confidence: 98%