Eye Symptom Questionnaire to Evaluate Anterior Eye Health

Woodward, Maria A.; Valikodath, Nita; Newman-Casey, Paula Anne; Niziol, Leslie M.; Musch, David C.; Lee, Paul P.

doi:10.1097/icl.0000000000000403

Cited by 7 publications

(7 citation statements)

References 37 publications

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“…11 Our research is supported by the literature showing that 1) EHR prediction models can accurately identify eye conditions of interest 12 ; 2) specific eye symptoms are associated with asVTD 13 ; and 3) specific eye and health history components are associated with asVTD but not with other anterior segment eye disease. 8,13 The goal of this research was to gain the knowledge to then create EHR-integrated software used by PCPs to determine the risk of asVTD in patients with eye complaints. This study focused on asVTD, given the complexity and diversity of potential eye complaints and resulting asVTDs.…”

supporting

confidence: 63%

“…Machine learning techniques augmented by EHR data extraction methods are a well-established tool to identify patient cohorts and create prediction models ready for clinical application. 11 Our research is supported by the literature showing that 1) EHR prediction models can accurately identify eye conditions of interest 12 ; 2) specific eye symptoms are associated with asVTD 13 ; and 3) specific eye and health history components are associated with asVTD but not with other anterior segment eye disease. 8,13 The goal of this research was to gain the knowledge to then create EHR-integrated software used by PCPs to determine the risk of asVTD in patients with eye complaints.…”

supporting

confidence: 63%

See 1 more Smart Citation

Development and Validation of a Model to Predict Anterior Segment Vision-Threatening Eye Disease Using Primary Care Clinical Notes

Singh

Thibodeau

Niziol

et al. 2021

Cornea

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supporting

confidence: 63%

supporting

confidence: 63%

Development and Validation of a Model to Predict Anterior Segment Vision-Threatening Eye Disease Using Primary Care Clinical Notes

Singh

Thibodeau

Niziol

et al. 2021

Cornea

Self Cite

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“…This finding highlights a well-established practice pattern, namely, to urgently triage patients presenting with reports of “flashes and floaters” due to the urgent nature of the potential retinal aetiologies. Conversely, there is no anterior segment-related clinical history equivalent of “flashes and floaters” to indicate the urgency of anterior segment disease [ 28 ]. Further exploration, therefore, is needed to determine the extent to which virtual triage status can be determined with survey information alone.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a telemedicine program for triage and diagnosis of emergent ophthalmic conditions

Meshkin

Armstrong

Hall

et al. 2022

Eye

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Background To study the utility of a teleophthalmology program to diagnose and triage common ophthalmic complaints presenting to an ophthalmic emergency room. Methods Prospective, observational study of 258 eyes of 129 patients presenting to the Massachusetts Eye and Ear Infirmary Emergency Ward (MEE EW) who completed a questionnaire to gather chief complaint (CC), history of present illness, and medical history. Anterior and posterior segment photographs were collected via iPhone 5 C camera and a Canon non-mydriatic fundus camera, respectively. Ophthalmic vital signs were collected. All information was reviewed remotely by three ophthalmologists; a diagnosis and urgency designation were recorded. The remote assessment was compared to gold standard in-person assessment. Results The 129 recruited patients collectively contributed 220 visual complaints, of which 121 (55%) were from females with mean age 56.5 years (range 24–89). Sensitivities and specificities for telemedical triage were as follows: eye pain ( n = 56; sensitivity: 0.58, CI [0.41, 0.74]; specificity: 0.91, CI [0.80, 1]), eye redness ( n = 54; 0.68, CI [0.50, 0.86]; 0.93, CI [0.84, 1]), blurry vision ( n = 68; 0.73, CI [0.60, 0.86]; 0.91, CI [0.80, 1]), and eyelid complaints ( n = 42; 0.67, CI [0.43, 0.91]; 0.96, CI [0.89, 1]). The remote diagnostic accuracies, as stratified by CC, were eye pain (27/56; 48.21%), eye redness: (32/54; 59.26%), blurry vision: (30/68; 44.11%), eyelid (24/42; 57.14%). Conclusions Telemedical examination of emergent ophthalmic complaints consisting of a patient questionnaire, anterior segment and fundus photos, and ophthalmic vital signs, may be useful to reliably triage eye disease based on presenting complaint.

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“…Adapting existing triage questions to focus on areas which represent key contact lens related symptoms e.g. eye pain, redness, glare, would help identify the presence and determine the urgency of anterior segment disease [12].…”

Section: Triage For Anterior Eyementioning

confidence: 99%

Could telehealth help eye care practitioners adapt contact lens services during the COVID-19 pandemic?

Nagra

Vianya-Estopà

Wolffsohn

2020

Contact Lens and Anterior Eye

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The COVID-19 pandemic has necessitated government-imposed restrictions on social interactions and travel. For many, the guidance has led to new ways of working, most notably a shift towards working remotely. While eye care practitioners (ECPs) may continue to provide urgent or emergency eye care, in many cases the travel restrictions present a unique challenge by preventing conventional face-to-face examination. Telephone triage provides a useful starting point for establishing at-risk and emergency patients; but patient examination is central to contact lens patient care.The indeterminate period over which conventional practice will be suspended, and the risk that resumption of 'normal' practice could be impeded by a potential secondary peak in COVID-19 cases, hastens the need for practitioners to adapt their delivery of eyecare. Specifically, it is prudent to reflect upon supportive evidence for more comprehensive approaches to teleoptometry in contact lens practice.Smartphone based ocular imaging is an area which has seen considerable growth, particularly for imaging the posterior eye. Smartphone imaging of the anterior eye requires additional specialised instrumentation unlikely to be available to patients at home. Further, there is only limited evidence for self-administered image capture. In general, digital photographs, are useful for detection of gross anterior eye changes, but subtle changes are less discernible.For the assessment of visual acuity, many electronic test charts have been validated for use by practitioners. Research into self-administered visual acuity measures remains limited.The absence of a comprehensive evidence base for teleoptometry limits ECPs, particularly during this pandemic. Knowledge gaps ought to be addressed to facilitate development of optometry specific evidence-based guidance for telecare. In particular, advances in ocular self-imaging could help move this field forwards.

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Eye Symptom Questionnaire to Evaluate Anterior Eye Health

Abstract: Symptoms of eye pain, glare, redness, and blurry vision indicate the presence and urgency of AS disease.

Cited by 7 publications

References 37 publications

Development and Validation of a Model to Predict Anterior Segment Vision-Threatening Eye Disease Using Primary Care Clinical Notes

Development and Validation of a Model to Predict Anterior Segment Vision-Threatening Eye Disease Using Primary Care Clinical Notes

Effectiveness of a telemedicine program for triage and diagnosis of emergent ophthalmic conditions

Could telehealth help eye care practitioners adapt contact lens services during the COVID-19 pandemic?

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