Glaucoma and Telemedicine

Brandão-de-Resende, Camilo; Alcântara, Liliane de Abreu Rosa de; Vasconcelos-Santos, Daniel Vítor; Diniz-Filho, Alberto

doi:10.1097/ijg.0000000000002200

Cited by 3 publications

(3 citation statements)

References 64 publications

(187 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some of the earliest applications of what is now labeled “teleglaucoma”, involved the use of portable fundus cameras, video slit-lamps, and perimetry [8,9]. Since then, numerous studies have also incorporated artificial intelligence (AI), virtual reality, smart devices, and other technological advancements [10,11 ▪ ,12,13,14 ▪ ]. Here, we review recent advances in remote tonometry, perimetry, and fundus imaging, which are cornerstones of glaucoma diagnosis and monitoring…”

Section: Introductionmentioning

confidence: 99%

Recent developments of telemedicine in glaucoma

Jo,

Pasquale

2024

Current Opinion in Ophthalmology

View full text Add to dashboard Cite

Purpose of review Telemedicine has an increasingly significant role in the fields of ophthalmology and glaucoma. This review covers recent advancements in the development and optimization of teleglaucoma techniques and applications. Recent findings Glaucoma monitoring and diagnosis via remote tonometry, perimetry, and fundus imaging have become a possibility based on recent developments. Many applications work in combination with smart devices, virtual reality, and artificial intelligence and have been tested in patient populations against conventional “reference-standard” measurement tools, demonstrating promising results. Of note, there is still much progress to be made in teleglaucoma and telemedicine at large, such as accessibility to internet, broadband, and smart devices, application affordability, and reimbursement for remote services. However, continued development and optimization of these applications suggest that the implementation of remote monitoring will be a mainstay for glaucoma patient care. Summary Especially since the beginning of the COVID-19 pandemic, remote patient care has taken on an important role in medicine and ophthalmology. Remote versions of tonometry, perimetry, and fundus imaging may allow for a more patient-centered and accessible future for glaucoma care.

show abstract

Section: Introductionmentioning

confidence: 99%

Recent developments of telemedicine in glaucoma

Jo,

Pasquale

2024

Current Opinion in Ophthalmology

View full text Add to dashboard Cite

show abstract

“…In ophthalmology, examination is a fundamental pillar of our consultation to make clinical decisions and Telemedicine does not replace the Ophthalmologist, who is the only guarantor of the clinical decisions. Telemedicine can be particularly bene cial for those living in remote or underserved areas [3].…”

Section: Introductionmentioning

confidence: 99%

“…Teleglaucoma has two possible forms as glaucoma screening and glaucoma management [3]. The rst group refers to the use of telemedicine to screen high risk individuals and assist ophthalmologists in diagnosis of glaucoma.…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of telematic glaucoma clinic as a consequence of COVID-19 pandemic

Sánchez,

Romero,

Artigas

et al. 2024

Preprint

View full text Add to dashboard Cite

PURPOSE Due to COVID-19 pandemic, the glaucoma clinic had to adapt to meet the needs of this chronic disease. New technologies allowed us to monitor some of these patients in a telematic way. METHODS We retrospectively analyzed patients with-open angle glaucoma who were visited between September 2021 and March 2022, and compared Visual Field (VF) and Optical Coherence Tomography (OCT) parameters depending on whether they had telematic or only face-to-face controls. All patients were stratified in each group according to glaucoma severity. RESULTS A total of 204 eyes from 118 patients were included in the analysis, with 100 in the group with only face-to-face controls (group 1/FTF) and 104 with some telematic control (group 2/HG). In group 2/HG, an average of 3.37 face-to-face visits and 1.27 telematic visits were made, while group 1/FTF had 4.4 face-to-face visits. There was no significant difference between the pre-pandemic and 2 years after it visits, neither in Visual Accuity, OCT and VF parameters. Regarding glaucoma severity, there were more cases of severe glaucoma in group 1/FTF and more cases of mild glaucoma in group 2/HG. CONCLUSIONS Telematic management of the glaucoma clinic, with the use of appropriate tools, can be useful for maintaining the quality of care during periods of face-to-face consultations saturation or when face-to-face control is completely impossible.

show abstract

The Role of Telemedicine in Glaucoma Care Triggered by the SARS-CoV-2 Pandemic: A Qualitative Study

Liu¹,

Ying²,

Kamat³

et al. 2023

OPTH

View full text Add to dashboard Cite

Purpose To explore and report on how glaucoma care was impacted by the SARS-CoV-2 pandemic (COVID-19) in New York City (NYC) with a specific emphasis on the role of telemedicine. Patients and Methods This was a qualitative, cross-sectional study that engaged glaucoma clinicians in semi-structured interviews to elicit perspectives on telemedicine and patient care experiences during the pandemic. Interview responses were coded and analyzed thematically. Results Twenty clinicians participated. Mean participant age was 48.8 ± 12.3 years, and the mean number of years in practice post-glaucoma fellowship was 17.5 ± 12.4 years. Four main themes pertinent to the role of telemedicine triggered by the COVID-19 pandemic were identified: (1) The Need to Ensure Patient and Staff Safety Drove Telemedicine Uptake; (2) Telemedicine Allowed Providers to Address Subjective Complaints; (3) Telemedicine was Discontinued Due To Concerns of Compromised Patient Safety and Measurement Inaccuracy; (4) Technological Advances are Needed for Continued Telemedicine Usage and Uptake in Glaucoma Care. The interviews suggested that telemedicine usage dropped markedly within just a few months during the pandemic, and for most physicians interviewed, telemedicine is no longer part of their clinical practice. Several clinicians reported optimism towards future implementation of telemedicine as the technology develops. Conclusion This study identified 4 themes outlining the uptake, application, discontinuation and overall perspectives on telemedicine by glaucoma clinicians. The role of telemedicine, as triggered by the COVID-19 pandemic, may have lasting implications for patient safety, continuity of care, and glaucoma care delivery beyond this public health crisis.

show abstract

Glaucoma and Telemedicine

Abstract: Précis: Teleglaucoma is the future, but there is a need for clearer regulation by government agencies and medical entities, as well as for studies to further demonstrate the cost-effectiveness and safety of teleglaucoma strategies at a global scale.

Cited by 3 publications

References 64 publications

Recent developments of telemedicine in glaucoma

Recent developments of telemedicine in glaucoma

Retrospective analysis of telematic glaucoma clinic as a consequence of COVID-19 pandemic

The Role of Telemedicine in Glaucoma Care Triggered by the SARS-CoV-2 Pandemic: A Qualitative Study

Contact Info

Product

Resources

About