The Current State of Teleophthalmology in the United States

Rathi, Sonika; Tsui, Edmund; Mehta, Nitish; Zahid, Sarwar; Schuman, Joel S.

doi:10.1016/j.ophtha.2017.05.026

Cited by 212 publications

(213 citation statements)

References 36 publications

Supporting

Mentioning

193

Contrasting

Unclassified

Order By: Relevance

“…Newer technology continues to contribute to teleophthalmology efforts, but barriers remain to widespread adoption . However, the Scottish Eyecare Integration project was able to utilize teleophthalmology to reduce wait times and make final diagnosis in 20% of cases without direct consultation .…”

Section: Newer Non‐mydriatic and Handheld Camerasmentioning

confidence: 99%

“…47 Newer technology continues to contribute to teleophthalmology efforts, but barriers remain to widespread adoption. 48,49 However, the Scottish Eyecare Integration project was able to utilize teleophthalmology to reduce wait times and make final diagnosis in 20% of cases without direct consultation. 50 In a test of teleophthalmology involving clinical data as well as imaging, virtual review was only found to differ from face-to-face consultation in 3.4% of 204 cases.…”

Section: Newer Non-mydriatic and Handheld Camerasmentioning

confidence: 99%

See 1 more Smart Citation

Evolution of optic nerve photography for glaucoma screening: a review

Myers

Fudemberg

Lee

2018

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

Visual evaluation of the optic nerve has been one of the earliest and most widely used methods to evaluate patients for glaucoma. Photography has proven very useful for documentation of the nerve's appearance at a given time, allowing more detailed scrutiny then, and later comparison for change. Photography serves as the basis for real-time or non-simultaneous review in telemedicine and screening events allowing fundus and optic nerve evaluation by experts elsewhere. Expert evaluation of disc photographs has shown diagnostic performance similar to other methods of optic nerve evaluation for glaucoma. Newer technology has made optic nerve photography simpler, cheaper and more portable creating opportunities for broader utilization in screening in underserved populations by non-physicians. Recent investigations suggest that non-physicians or software algorithms for disc photograph evaluation have promise to allow more screening to be done with fewer experts.

show abstract

Section: Newer Non‐mydriatic and Handheld Camerasmentioning

confidence: 99%

Section: Newer Non-mydriatic and Handheld Camerasmentioning

confidence: 99%

Evolution of optic nerve photography for glaucoma screening: a review

Myers

Fudemberg

Lee

2018

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

show abstract

“…A recent review of the current state of teleophthalmology in the United States noted that teleophthalmology may allow for earlier detection and more reliable monitoring of ocular conditions and has the potential to improve access to care and adherence to evidence-based protocols [11]. Additionally, teleophthalmology has the ability to increase access to subspecialty care, especially for people living in remote locations.…”

Section: Discussionmentioning

confidence: 99%

Tele-Oncology: A Validation Study of Choroidal and Iris Nevi

Roelofs

Weis

2018

Ocul Oncol Pathol

View full text Add to dashboard Cite

Background/Aims: To evaluate teleophthalmological assessment of choroidal and iris nevi (tele-oncology) compared to traditional in-person clinical evaluation for detection of either axial or basal growth. Methods: This is a validation study. All 97 eyes of 99 patients were evaluated with an in-person ocular oncology visit utilizing standard testing, and subsequently had a tele-oncology evaluation with the standardized tests. The tele-oncology reviewer was blinded to the in-person examination findings. The primary study outcome was detection of nevus growth on tele-oncology compared to in-person clinical examination. Results: Patients had a mean age of 61 years and the majority had nevi located in the choroid (n = 87; 88%). The most common diagnosis was a low-risk nevus (n = 38; 44%). By tele-oncology assessment, 11 eyes showed growth. Ten of these patients had growth confirmed on in-person clinical examination. Resultantly, tele-oncology assessment of choroidal and iris nevi growth had a sensitivity of 100%, specificity of 99%, positive predictive value (PPV) of 91%, and negative predictive value (NPV) of 100%. Conclusions: The results of this study suggest that tele-oncology is a safe platform for monitoring choroidal and iris nevi for growth, with excellent sensitivity, specificity, PPV, and NPV.

show abstract

“…The application of telemedicine expands throughout medicine; accordingly, in glaucoma care, most uses are in disease screening with optic nerve photographs transmitted to glaucoma specialists (93). The ease of acquiring multiple images opens new opportunities for detection of disease progression.…”

Section: Artificial Intelligence and Telemedicinementioning

confidence: 99%

The Future of Imaging in Detecting Glaucoma Progression

et al. 2017

Self Cite

View full text Add to dashboard Cite

Ocular imaging has been heavily incorporated into glaucoma management and provides important information that aids in the detection of disease progression. Longitudinal studies have shown that the circumpapillary retinal nerve fiber layer is an important parameter for glaucoma progression detection, while other studies demonstrated that macular parameters, such as the ganglion cell inner plexiform layer and optic nerve head parameters are also useful for progression detection. The introduction of novel technologies with faster scan speeds, wider scanning fields, higher resolution, and improved tissue penetration has enabled the precise quantification of additional key ocular structures, such as the individual retinal layers, optic nerve head, choroid, and lamina cribrosa. Furthermore, extracting functional information from scans such as blood flow rate and oxygen consumption provides new perspectives on the disease and its progression. These novel methods promise improved detection of glaucoma progression and better insight into the mechanisms of progression that will lead to better targeted treatment options to prevent visual damage and blindness.

show abstract

The Current State of Teleophthalmology in the United States

Cited by 212 publications

References 36 publications

Evolution of optic nerve photography for glaucoma screening: a review

Evolution of optic nerve photography for glaucoma screening: a review

Tele-Oncology: A Validation Study of Choroidal and Iris Nevi

The Future of Imaging in Detecting Glaucoma Progression

Contact Info

Product

Resources

About