Anterior Segment and Others in Teleophthalmology: Past, Present, and Future

Cui, Tingxin; Yun, Dongyuan; Wu, Xiaohang; Lin, Haotian

doi:10.1097/apo.0000000000000396

Cited by 7 publications

(11 citation statements)

References 116 publications

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“…Mobile medical units have since been used to deliver telemedical care to patients without easy access to specialists. Mobile units provided glaucoma healthcare services in Greece and Finland, for example (7). Over time, screening for ophthalmic pathology via telemedicine has expanded.…”

Section: History Of Teleophthalmologymentioning

confidence: 99%

“…As technology advances, so does the ability to conduct teleophthalmology. Smart phones have become "portable exam instruments" changing how imaging is collected and interpreted (7).…”

Section: History Of Teleophthalmologymentioning

confidence: 99%

“…Smartphones can attach to slit lamps and record ocular biomicroscopic videography (10). Slit lamp smartphone attachments (considered Class 1 devices) allow physicians to screen for diseases, test visual acuity, and capture fundus images from their mobile devices (7,11). Communication advancements enable ophthalmologists all over the world to collaborate in real-timefrom computer screen sharing of images to real-time communication in the operating room (7,10).…”

Section: History Of Teleophthalmologymentioning

confidence: 99%

“…In 1998, Shimmura et al documented early use of video and audio transmission for post-operative consultation after keratoplasty (12). In Japan, post-operative follow-up was performed using a remote-controlled slit lamp, negating the need for a skilled operator at the site (7).…”

Section: History Of Teleophthalmologymentioning

confidence: 99%

“…Additionally, DL algorithms can screen for other pediatric pathologies including congenital cataracts, microphthalmia, aphakia, microcornea, lens dislocations and others using video clips of visual behaviors (18). AI has been used to screen for keratoconus, keratitis, and pterygium in the research setting, with diagnostic results comparable to that of ophthalmologists (7). Pre-op screening for corneal refractive disease using AI has been adopted, and AI has even been utilized in planning aspects of cataract surgery (7).…”

Section: History Of Teleophthalmologymentioning

confidence: 99%

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Telehealth in Ophthalmology

et al. 2022

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Ophthalmology is a suitable field for telehealth integration given technology's advancement in capturing images and transmitting data. Since the 19th century, with the first photograph of a retina in a living human, the utilization of technology in delivering remote eye care, known as teleophthalmology, has evolved rapidly with smartphones, 5th generation wireless communication, and artificial intelligence. These widespread applications have been used both asynchronously (store-and-forward) and synchronously (real-time) in the screening, diagnosis, Note to the Reader: This chapter is part of the book Digital Health (ISBN: 978-0-6453320-1-8), scheduled for publication in March 2022. The book is being published by Exon Publications,

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Section: History Of Teleophthalmologymentioning

confidence: 99%

“…As technology advances, so does the ability to conduct teleophthalmology. Smart phones have become "portable exam instruments" changing how imaging is collected and interpreted (7).…”

Section: History Of Teleophthalmologymentioning

confidence: 99%

Section: History Of Teleophthalmologymentioning

confidence: 99%

Section: History Of Teleophthalmologymentioning

confidence: 99%

Section: History Of Teleophthalmologymentioning

confidence: 99%

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Telehealth in Ophthalmology

et al. 2022

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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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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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Anterior Segment and Others in Teleophthalmology: Past, Present, and Future

Cited by 7 publications

References 116 publications

Telehealth in Ophthalmology

Telehealth in Ophthalmology

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

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

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