Comparing smartphone camera adapters in imaging post-operative cataract patients

Sanguansak, Thuss; Morley, Katharine; Morley, Michael G.; Kusakul, Suwat; Lee, Ramon; Shieh, Eric; Yospaiboon, Yosanan; Bhoomibunchoo, Chavakij; Chai-ear, Siriwatana; Joseph, Anthony; Agarwal, Isha

doi:10.1177/1357633x15625400

Cited by 22 publications

(13 citation statements)

References 9 publications

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“…Evidence on e-health technologies on cataract and age-related macular degeneration screening is still poor and on small populations, even the modest literature on these topics has shown an overall good quality of acquired images in 93-100% of cases [ 27 ].…”

Section: Diabetic Retinopathy Management During Covid-19mentioning

confidence: 99%

The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy

Galiero

Pafundi

Nevola

et al. 2020

Journal of Diabetes Research

131

101

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Recently, telemedicine has become remarkably important, due to increased deployment and development of digital technologies. National and international guidelines should consider its inclusion in their updates. During the COVID-19 pandemic, mandatory social distancing and the lack of effective treatments has made telemedicine the safest interactive system between patients, both infected and uninfected, and clinicians. A few potential evidence-based scenarios for the application of telemedicine have been hypothesized. In particular, its use in diabetes and complication monitoring has been remarkably increasing, due to the high risk of poor prognosis. New evidence and technological improvements in telemedicine application in diabetic retinopathy (DR) have demonstrated efficacy and usefulness in screening. Moreover, despite an initial increase for devices and training costs, teleophthalmology demonstrated a good cost-to-efficacy ratio; however, no national screening program has yet focused on DR prevention and diagnosis. Lack of data during the COVID-19 pandemic strongly limits the possibility of tracing the real management of the disease, which is only conceivable from past evidence in normal conditions. The pandemic further stressed the importance of remote monitoring. However, the deployment of device and digital application used to increase screening of individuals and monitor progression of retinal disease needs to be easily accessible to general practitioners.

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Section: Diabetic Retinopathy Management During Covid-19mentioning

confidence: 99%

The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy

Galiero

Pafundi

Nevola

et al. 2020

Journal of Diabetes Research

131

101

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“…Ophthalmologists can sometimes benefit from a mobile phone photo of the eye when triaging remotely patients’ complaints. A mobile phone camera with proper focus and flash illumination can generate a clinically useful image in postop cataract patients [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Two-Way Social Media Messaging in Postoperative Cataract Surgical Patients: Prospective Interventional Study

Sanguansak¹,

Morley²,

Morley³

et al. 2017

J Med Internet Res

Self Cite

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BackgroundSocial media offers a new way to provide education, reminders, and support for patients with a variety of health conditions. Most of these interventions use one-way, provider-patient communication. Incorporating social media tools to improve postoperative (postop) education and follow-up care has only been used in limited situations.ObjectiveThe aim of this study was to determine the feasibility and efficacy of two-way social media messaging to deliver reminders and educational information about postop care to cataract patients.MethodsA total of 98 patients undergoing their first eye cataract surgery were divided into two groups: a no message group receiving usual pre- and postop care and a message group receiving usual care plus messages in a mobile social media format with standardized content and timing. Each patient in the message group received nine messages about hand and face hygiene, medication and postop visit adherence, and links to patient education videos about postop care. Patients could respond to messages as desired. Main outcome measures included medication adherence, postop visit adherence, clinical outcomes, and patients’ subjective assessments of two-way messaging. The number, types, content, and timing of responses by patients to messages were recorded.ResultsMedication adherence was better in the message group at postop day 7, with high adherence in 47 patients (96%, 47/49) versus 36 patients (73%, 36/49) in the no message group (P=.004), but no statistically significant differences in medication adherence between the groups were noted at preop and postop day 30. Visit adherence was higher at postop day 30 in the message group (100%, 49/49) versus the no message group (88%, 43/49; P=.03) but was 100% (49/49) in both groups at postop day 1 and 7. Final visual outcomes were similar between groups. A total of 441 standardized messages were sent to the message group. Out of 270 responses generated, 188 (70%) were simple acknowledgments or “thank you,” and 82 (30%) responses were questions that were divided into three general categories: administrative, postop care, and clinical issues. Out of the 82 question responses, 31 (11%) were about administrative issues, 28 (10%) about postop care, and 23 (9%) about clinical symptoms. All the messages about symptoms were triaged by nurses or ophthalmologists and only required reassurance or information. Patients expressed satisfaction with messaging.ConclusionsTwo-way social media messaging to deliver postop information to cataract patients is feasible and improves early medication compliance. Further design improvements can streamline work flow to optimize efficiency and patient satisfaction.

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“…Several studies have demonstrated the efficacy of smartphone-based slit-lamp devices. Moreover, several studies have indicated that an external convex lens enables adjustment of the magnification to the eyes [23,24]. Recently, Hu S, et al demonstrated the efficiency of smartphone-based slit-lamps for cataract screening.…”

Section: Discussionmentioning

confidence: 99%

A Study Validating the Estimation of Anterior Chamber Depth and Iridocorneal Angle with Portable and Non-Portable Slit-Lamp Microscopy

Shimizu

Yazu

Aketa

et al. 2021

Sensors

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This study assessed the anterior chamber depth (ACD) and iridocorneal angle using a portable smart eye camera (SEC) compared to the conventional slit-lamp microscope and anterior-segment optical coherence tomography (AS-OCT). This retrospective case-control study included 170 eyes from 85 Japanese patients. The correlation between the ACD evaluations conducted with the SEC and conventional slit-lamp was high (r = 0.814). The correlation between the Van-Herick Plus grade obtained using two devices was also high (r = 0.919). A high kappa value was observed for the Van-Herick Plus grading (Kappa = 0.757). A moderate correlation was observed between the ACD measured using AS-OCT and the slit-lamp image acquired with the conventional slit-lamp microscope and SEC (r = 0.609 and 0.641). A strong correlation was observed between the trabecular-iris angle (TIA) measured using AS-OCT and Van-Herick Plus grade obtained with the conventional slit-lamp microscope and SEC (r = 0.702 and 0.764). Strong correlations of ACD evaluation and high kappa value of the Van-Herick Plus grading indicated the adequate subjective assessment function of the SEC. Moderate correlations between the ACD objective measurement and evaluation and strong correlation between the TIA and Van-Herick Plus grade suggested the good objective assessment function of the SEC. The SEC demonstrated adequate performance for ACD evaluation and angle estimation.

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Comparing smartphone camera adapters in imaging post-operative cataract patients

Cited by 22 publications

References 9 publications

The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy

The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy

Two-Way Social Media Messaging in Postoperative Cataract Surgical Patients: Prospective Interventional Study

A Study Validating the Estimation of Anterior Chamber Depth and Iridocorneal Angle with Portable and Non-Portable Slit-Lamp Microscopy

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