4.4 Article

A pilot trial of tele-ophthalmology for diagnosis of chronic blurred vision

期刊

JOURNAL OF TELEMEDICINE AND TELECARE
卷 19, 期 2, 页码 65-69

出版社

ROYAL SOC MEDICINE PRESS LTD
DOI: 10.1177/1357633X13476233

关键词

-

资金

  1. National Healthcare Group Right Siting Fund

向作者/读者索取更多资源

We evaluated the accuracy of tele-ophthalmology in diagnosing the major causes of chronic blurring of vision. Thirty consecutive patients attending a primary eye-care facility in Singapore (the Ang Mo Kio Polyclinic, AMKP) with the symptom of chronic blurred vision were recruited. An ophthalmic technician was trained to perform Snellen acuity; auto-refraction; intraocular pressure measurement; red-colour perimetry; video recordings of extraocular movement, cover tests and pupillary reactions; and anterior segment and fundus photography. Digital information was transmitted to a tertiary hospital in Singapore (the Tan Tock Seng Hospital) via a tele-ophthalmology system for teleconsultation with an ophthalmologist. The diagnoses were compared with face-to-face consultation by another ophthalmologist at the AMKP. A user experience questionnaire was administered at the end of the consultation. Using face-to-face consultation as the gold standard, tele-ophthalmology achieved 100% sensitivity and specificity in diagnosing media opacity (n = 29), maculopathy (n = 23) and keratopathy (n = 30) of any type; and 100% sensitivity and 92% specificity in diagnosing optic neuropathy of any type (n = 24). The majority of the patients (97%) were satisfied with the tele-ophthalmology workflow and consultation. The tele-ophthalmology system was able to detect causes of chronic blurred vision accurately. It has the potential to deliver high-accuracy diagnostic eye support to remote areas if suitably trained ophthalmic technicians are available.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Ophthalmology

Epidemic Retinitis with Positive or Negative Weil Felix Test-a Comparative Study and Outcome with Doxycycline

Ankush Kawali, Padmamalini Mahendradas, Srinivasan Sanjay, Ashwin Mohan, Bhujang Shetty

Summary: The presence or absence of a positive Weil Felix Test did not significantly impact the clinical manifestations and disease outcomes in Epidemic Retinitis patients. Resolution times for macular edema and retinitis did not differ significantly between the two groups.

OCULAR IMMUNOLOGY AND INFLAMMATION (2022)

Article Ophthalmology

Reactivation of varicella zoster infection presenting as acute retinal necrosis post COVID 19 vaccination in an Asian Indian male

Sai Bhakti Mishra, Padmamalini Mahendradas, Ankush Kawali, Srinivasan Sanjay, Rohit Shetty

Summary: This article presents a rare case of varicella zoster infection following COVID-19 vaccination in an elderly Asian Indian male. The findings suggest a possible link between COVID-19 vaccine and viral reactivation, particularly in elderly individuals with comorbidities.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Article Ophthalmology

Topical interferon in recurrent inflammatory macular edema following a cat bite

Ankush Kawali, Sanjay Srinivasan, Padmamalini Mahendradas, Rohit Shetty

Summary: Treatment of inflammatory macular edema post endophthalmitis is challenging, with risks associated with steroids and anti-VEGF therapy. A 34-year-old Asian Indian woman with traumatic endophthalmitis and recurrent macular edema was successfully treated with topical interferon therapy, showing resolution of edema after 2 months and recurrence responding well to interferon monotherapy during COVID-lock down. Topical interferon may be a safer, economical, and non-invasive treatment option for such cases.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2022)

Article Ophthalmology

Bilateral post fever retinitis with retinal vascular occlusions following severe acute respiratory syndrome corona virus (SARS-CoV2) infection

Padmamalini Mahendradas, Prathibha Hande, Aditya Patil, Ankush Kawali, Srinivasan Sanjay, Syed Asrar Ahmed, Sherina Thomas, Rohit Shetty

Summary: This case report presents a patient with bilateral multifocal retinitis and multiple vascular occlusions three weeks after a febrile illness, which was managed with systemic steroids, doxycycline, and anticoagulants leading to improvement in vision. High seropositive response against SARS-CoV-2 was identified as the causative agent, but the cross-reactivity of SARS-CoV-2 with other viruses poses a challenge for interpretation.

OCULAR IMMUNOLOGY AND INFLAMMATION (2022)

Article Ophthalmology

Global Ophthalmology Practice Patterns during COVID-19 Pandemic and Lockdown

Srinivasan Sanjay, Seo Wei Leo, Kah - Guan Au Eong, Gitalisa Andayani Adriono, Kenneth C. S. Fong, Kartik Anand, Rumita S. Kadarisman, David B. Granet, Padmamalini Mahendradas, Rohit Shetty, Sharon D. Souza, Swaminathan P. Iyer

Summary: Global ophthalmologists have experienced significant changes in practice patterns during the COVID-19 pandemic, with a precipitous drop in surgical procedures. 41% of ophthalmologists are considering resuming elective surgeries after evaluating the situation. More than 2/3 of respondents prioritize physical distancing, mask-wearing, and hand disinfection for patient protection.

OPHTHALMIC EPIDEMIOLOGY (2022)

Letter Ophthalmology

Acute macular neuroretinopathy and COVID-19 vaccination

Srinivasan Sanjay, Ankush Kawali, Padmamalini Mahendradas

INDIAN JOURNAL OF OPHTHALMOLOGY (2022)

Letter Ophthalmology

Comment on: COVID-19 vaccine-associated reactivation of uveitis

Srinivasan Sanjay, Ankush Kawali

INDIAN JOURNAL OF OPHTHALMOLOGY (2022)

Letter Ophthalmology

Systemic Markers in Ophthalmic Manifestations of Post Corona Virus Disease-19 (COVID-19)

Srinivasan Sanjay, Sai Bhakti Mistra, Sithun Kumar Patro, Ankush Kawali, Rohit Shetty, Padmamalini Mahendradas

Summary: This retrospective case series explored the systemic status in ophthalmic patients with a recent history of COVID-19 or positive COVID-19 antibody status. The study found that serum D-dimer and ferritin levels were significantly elevated in patients with sight threatening ocular manifestations. Furthermore, ESR and CRP remained elevated even after recovery from COVID-19, although the differences were not statistically significant.

OCULAR IMMUNOLOGY AND INFLAMMATION (2022)

Letter Ophthalmology

Herpes Simplex Virus 1 Anterior Uveitis following Coronavirus Disease 2019 (COVID-19) Vaccination in an Asian Indian Female

Rohini Sangoram, Padmamalini Mahendradas, Sai Bhakti Mishra, Ankush Kawali, Srinivasan Sanjay, Rohit Shetty

Summary: This case report describes an incidence of HSV 1 anterior uveitis following COVID-19 vaccination. A viral etiology should be considered when ocular symptoms occur after vaccination.

OCULAR IMMUNOLOGY AND INFLAMMATION (2022)

Letter Ophthalmology

Acute Bilateral Neuroretinitis and Panuveitis in A Patient with Coronavirus Disease 2019: A Case Report- Few Comments

Ankush Kawali, Srinivasan Sanjay, Padmamalini Mahendradas, Rohit Shetty

Summary: During the COVID-19 pandemic, there have been reports of a known uveitic entity being associated with SARS-CoV-2, but causality has not been proven. If manifestations resembling a region-specific endemic disease occur in a non-endemic country during the pandemic, it may suggest SARS-CoV-2 as a causative organism.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Ophthalmology

Reactivation of juvenile idiopathic arthritis associated uveitis with posterior segment manifestations following anti-SARS-CoV-2 vaccination

Padmamalini Mahendradas, Sai Bhakti Mishra, Rubble Mangla, Srinivasan Sanjay, Ankush Kawali, Rohit Shetty, Balebail Dharmanand

Summary: This case report highlights the potential risk of exacerbation of uveitis with posterior segment manifestations following anti-SARS-CoV-2 vaccination in patients with JIA-associated uveitis.

JOURNAL OF OPHTHALMIC INFLAMMATION AND INFECTION (2022)

Letter Ophthalmology

Comments on 'Presumed Post COVID- Infection Retinitis - Clinical and Tomographic Features of Retinitis as a Post-COVID Syndrome'

Ankush Kawali, Srinivasan Sanjay, Padmamalini Mahendradas, Bhujang Shetty

Summary: The characteristics and course of known seasonal diseases may or may not change during the COVID-19 pandemic. It is debatable whether COVID-19 should be labeled as a novel cause of these seasonal diseases or considered as a coinfection. Further investigations are necessary to rule out previously known causes and correlate them with COVID-19.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Ophthalmology

Visual Fields in Epidemic Retinitis

Ankush Kawali, Sujani Shroff, Srinivasan Sanjay, Sai Bhakti Mishra, Ashwin Mohan, Padmamalini Mahendradas, Rohit Shetty

Summary: This study analyzed visual field defects (VFDs) in patients with epidemic retinitis (ER). The findings showed that ER can cause persistent VFDs even after resolution, and treatment with oral doxycycline without steroids was found to be non-inferior to combined treatment.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Ophthalmology

Scleritis and Episcleritis following Coronavirus Disease (COVID-19) Vaccination

Srinivasan Sanjay, Ashit Handa, Ankush Kawali, Rohit Shetty, Sai Bhakti Mishra, Padmamalini Mahendradas

Summary: This study reported cases of scleritis and episcleritis occurring within a month after COVID-19 vaccination. A total of 15 eyes from 12 patients were included. The mean time of symptom onset was 15.7 days for scleritis and 13.2 days for episcleritis. Treatment included topical steroids and systemic COX2 inhibitors. Scleritis and episcleritis following COVID-19 vaccination are usually mild and do not typically require intensive immunosuppression.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Ophthalmology

Trends in teleconsultations for uveitis during the COVID-19 lockdown

Padmamalini Mahendradas, Swaminathan Sethu, Chaitra Jayadev, Aaditi Anilkumar, Ankush Kawali, Srinivasan Sanjay, Sai Bhakti Mishra, Rohit Shetty, Bhujang K. Shetty

Summary: The purpose of this study was to examine the use of teleophthalmology for managing uveitis patients and to describe the experience of teleconsultation for uveitis at a tertiary eye care hospital in India during the COVID-19 pandemic. The results showed that teleconsultation using a customized smartphone-based application could provide alternative ophthalmic care for uveitis patients and help reduce hospital visits during the pandemic.

INDIAN JOURNAL OF OPHTHALMOLOGY (2022)

暂无数据