Mobile Health in the Retinal Clinic Population: Access to and Interest in Self-Tracking

Ludwig, Cassie A.; Callaway, Natalia F.; Park, Joyce Ho; Leng, Theodore

doi:10.3928/23258160-20160229-08

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…This has coincided with widespread smartphone ownership in the USA and Europe [ 13 ], with the majority of adults aged 55 years or over owning a smartphone [ 13 , 14 ]. Indeed, globally, smartphones and tablets are already used extensively as aids by adults with visual impairments [ 15 ] and most patients with retinal disease report having both the means and motivation to engage in home monitoring [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Home vision monitoring in patients with maculopathy: current and future options for digital technologies

Balaskas

Drawnel

Khanani

et al. 2023

Eye

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Patients with macular pathology, including that caused by age-related macular degeneration and diabetic macular oedema, must attend frequent in-clinic monitoring appointments to detect onset of disease activity requiring treatment and to monitor progression of existing disease. In-person clinical monitoring places a significant burden on patients, caregivers and healthcare systems and is limited in that it only provides clinicians with a snapshot of the patient’s disease status. The advent of remote monitoring technologies offers the potential for patients to test their own retinal health at home in collaboration with clinicians, reducing the need for in-clinic appointments. In this review we discuss visual function tests, both existing and novel, that have the potential for remote use and consider their suitability for discriminating the presence of disease and progression of disease. We then review the clinical evidence supporting the use of mobile applications for monitoring of visual function from clinical development through to validation studies and real-world implementation. This review identified seven app-based visual function tests: four that have already received some form of regulatory clearance and three under development. The evidence included in this review shows that remote monitoring offers great potential for patients with macular pathology to monitor their condition from home, reducing the need for burdensome clinic visits and expanding clinicians’ understanding of patients’ retinal health beyond traditional clinical monitoring. In order to instil confidence in the use of remote monitoring in both patients and clinicians further longitudinal real-world studies are now warranted.

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Section: Introductionmentioning

confidence: 99%

Home vision monitoring in patients with maculopathy: current and future options for digital technologies

Balaskas

Drawnel

Khanani

et al. 2023

Eye

View full text Add to dashboard Cite

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“…7 Mobile health, defined as the use of mobile devices in patient care and public health, has experienced an increase in popularity over recent years. 8 One area of innovation which has garnered significant interest is the ability to obtain, share, and analyze high quality ocular images utilizing mobile camera technology. This capability holds special interest in underresourced parts of the world where traditional ocular imaging devices are difficult to transport, cost-prohibitive and require a trained technician for operation 9,10 .…”

Section: Introductionmentioning

confidence: 99%

Clinical Application of a Smartphone-Based Ophthalmic Camera Adapter in Under-Resourced Settings in Nepal

et al. 2017

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Background:The ability to obtain high quality ocular images utilizing smartphone technology is of special interest in under-resourced parts of the world where traditional ocular imaging devices are cost-prohibitive, difficult to transport, and require a trained technician for operation. Purpose:The purpose of this study was to explore potential anterior and posterior segment ocular imaging use cases for a smartphone-based ophthalmic camera adapter (Paxos Scope, Digisight Technologies, San Francisco, CA, USA) in under-resourced settings in Nepal.Methods: From September to November of 2015 we utilized the Paxos Scope smartphone camera adapter coupled with an iPhone 5 to explore anterior and posterior segment clinical applications for this mobile technology. We used the device at a tertiary eye care facility, a rural eye hospital and a rural cataract outreach camp. We tested the device's capability for high quality photo-documentation in clinic, in the operating room, and in the outreach camp setting. Images were automatically uploaded to a secure, cloud-based electronic medical record system that facilitated sharing of images with other providers for telemedicine purposes.Results: Herein we present 17 ocular images documenting a wide variety of anterior and posterior segment pathology using the Paxos Scope from clinical cases seen in a variety of settings in Nepal. Conclusions:We found the quality of both the anterior and posterior segment images to be excellent in the clinic, the operating room, and the outreach camp settings. We found the device to be versatile and user-friendly, with a short learning curve. The Paxos Scope smartphone camera adapter may provide an affordable, high-quality, mobile ocular imaging option for under-resourced parts of the world.

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Mobile Health in the Retinal Clinic Population: Access to and Interest in Self-Tracking

Abstract: These data suggest strong patient interest in the use of mobile devices to track eye health.

Cited by 2 publications

References 23 publications

Home vision monitoring in patients with maculopathy: current and future options for digital technologies

Home vision monitoring in patients with maculopathy: current and future options for digital technologies

Clinical Application of a Smartphone-Based Ophthalmic Camera Adapter in Under-Resourced Settings in Nepal

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