Article
Environmental Sciences
Raffaele Nuzzi, Floriana Deraco, Simona Scalabrin
Summary: This cross-sectional study aimed to assess the prevalence of telemedicine, particularly teleophthalmology, in the Piedmont region of Northern Italy and compare it with the rest of Italy. The study found that teleophthalmology is slowly developing in Piedmont, but there is a lack of a unified network for storing and managing patients' data.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Sahar Ashrafzadeh, Bradley S. Gundlach, Irena Tsui
Summary: The study evaluated the effectiveness of a pilot tele-OCT program within VHA using existing resources. Through tele-OCT, unnecessary in-person clinic visits were reduced, retina clinic availability was increased, and patient adherence to follow-up plans was improved, especially among symptomatic patients and those requiring treatment.
TELEMEDICINE AND E-HEALTH
(2021)
Article
Health Care Sciences & Services
Jimmy S. Chen, Mark C. Lin, Glenn Yiu, Christine Thorne, Kristen Kulasa, Jay Stewart, Eric Nudleman, Matthew Freeby, Maria A. Han, Sally L. Baxter
Summary: This study investigated the barriers to the implementation of diabetic retinopathy teleretinal screening programs and artificial intelligence integration at the University of California. The findings revealed that barriers to teleretinal screening included patient education, resource availability, and infrastructural support, while barriers to AI integration included cost and integration into existing technology infrastructures.
TELEMEDICINE AND E-HEALTH
(2023)
Review
Medicine, General & Internal
Tania Padilla Conde, Lauren Robinson, Paras Vora, S. Lee Ware, Arnold Stromberg, Ana Bastos de Carvalho
Summary: This systematic review aims to investigate the effectiveness of telemedicine diabetic retinopathy screening (TDRS) in primary care clinics in increasing DR screening rates. Relevant studies will be identified and evaluated for quality and validity, and the findings will be disseminated through publications and relevant networks.
SYSTEMATIC REVIEWS
(2023)
Article
Ophthalmology
Huan Chen, Xuefeng Pan, Jingyuan Yang, Jing Fan, Mingwei Qin, Hu Sun, Jinxin Liu, Na Li, Daniel Shu Wei Ting, Youxin Chen
Summary: Interest in teleophthalmology has been increasing, especially during the COVID-19 pandemic. The study introduced a new teleophthalmology paradigm to treat DR at a distance, which may help ensure remote patients have access to essential health care. Further studies are needed to compare this approach with the current standard of care to determine potential differences in visual acuity or safety outcomes.
JAMA OPHTHALMOLOGY
(2021)
Article
Ophthalmology
James E. Benjamin, Justin Sun, Devin Cohen, Joseph Matz, Angela Barbera, Jeffrey Henderer, Lorrie Cheng, Julia Grachevskaya, Rajnikant Shah, Yi Zhang
Summary: The study reviewed data from Temple University Hospital's diabetic telemedicine project, showing that about half of the patients needed further referral to ophthalmology. However, the actual rate of patients receiving eye exams was low, highlighting the importance of establishing effective communication and timely specialist follow-up in telemedicine screening programs.
Review
Ophthalmology
Kateki Vinod, Paul A. Sidoti
Summary: During the COVID-19 pandemic, enhancements and adjustments in glaucoma care have led to more efficient and safer delivery methods, including a hybrid care model and stricter infection control measures. While innovation has driven several improvements in glaucoma care during the global health crisis, significant barriers to more widespread implementation of teleglaucoma still exist. It remains to be seen whether, and to what extent, the pandemic has permanently altered glaucoma practice patterns.
CURRENT OPINION IN OPHTHALMOLOGY
(2022)
Review
Medicine, General & Internal
Matthew R. Land, Parth A. Patel, Tommy Bui, Cheng Jiao, Arsalan Ali, Shadman Ibnamasud, Prem N. Patel, Veeral Sheth
Summary: With the increasing prevalence of diabetic retinopathy (DR), the capacity for in-person screenings by optometrists and ophthalmologists is expected to be insufficient in the coming years. Telemedicine provides an opportunity to expand access to DR screenings while reducing economic and temporal burdens. This literature review summarizes recent developments, considerations, barriers, and future directions in telemedicine for DR screening.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Ophthalmology
Sachi A. Patil, Victor J. Sanchez, Georgia Bank, Archana A. Nair, Saagar Pandit, Joel S. Schuman, Vaidehi Dedania, Ravi Parikh, Nitish Mehta, Kathryn Colby, Yasha S. Modi
Summary: The study examined patient follow-up after participating in a teleretinal screening program and identified potential barriers to care. The results showed that 58.8% of patients with severe retinopathy or worse sought in-person evaluation and treatment within 3 months of screening. However, 80% of interviewed patients reported lacking awareness of the need for follow-up eye appointments.
JOURNAL OF VITREORETINAL DISEASES
(2023)
Article
Ophthalmology
Dhaivat Shah, Lubhavni Dewan, Anukruti Singh, Deepika Jain, Tina Damani, Rinal Pandit, Amit Champalal Porwal, Sanjay Bhatnagar, Meghna Shrishrimal, Abhishek Patel
Summary: The study suggests that smartphone-based direct ophthalmoscope photography can be utilized for screening diabetic retinopathy in a general practitioner's clinic, aiding in initial diagnosis and referral to vitreoretinal specialists if necessary. This method may help reduce the burden of vision loss due to diabetic retinopathy in rural areas.
INDIAN JOURNAL OF OPHTHALMOLOGY
(2021)
Article
Chemistry, Multidisciplinary
Marwa Obayya, Nadhem Nemri, Mohamed K. Nour, Mesfer Al Duhayyim, Heba Mohsen, Mohammed Rizwanullah, Abu Sarwar Zamani, Abdelwahed Motwakel
Summary: Teleophthalmology, a study of telemedicine for eye care, has the potential to be revolutionized by Explainable Artificial Intelligence (XAI) in telehealth. This study proposes an XAI-enabled teleophthalmology model for grading and classification of diabetic retinopathy (DR) using advanced techniques like image segmentation and feature extraction. The experimental validation shows the improvements of the proposed model over recent approaches.
APPLIED SCIENCES-BASEL
(2022)
Article
Health Care Sciences & Services
Kristen Stebbins, Suzanne Kieltyka, Edward Chaum
Summary: This study found that after referral for vision-threatening DR detected through teleretinal imaging programs, the majority of patients had follow-up eye examinations within 3 months, 1 year, and the study period of 30 months. Most patients confirmed the diagnosis of vision-threatening DR and had some level of DR. Overall, teleretinal imaging programs can effectively increase patient compliance and generate accurate referrals for diabetic retinopathy.
TELEMEDICINE AND E-HEALTH
(2021)
Article
Health Care Sciences & Services
Yu-Chi Sung, Shwu-Jiuan Sheu, Shiuh-Liang Hsu
Summary: This study analyzed the feasibility of teleophthalmology services for disease diagnosis and referral in remote areas of Taiwan. By transmitting ophthalmic images and data through a telemedicine system, ophthalmologists were able to provide real-time diagnosis and treatment advice. The service received high overall satisfaction from patients and helped detect major undiagnosed diseases.
TELEMEDICINE AND E-HEALTH
(2023)
Article
Health Care Sciences & Services
Ugochi T. Aguwa, Chibuzo J. Aguwa, Michael Repka, Uma Srikumaran, Fasika Woreta, Eric L. Singman, Sabrina G. Jenkins, Divya Srikumaran
Summary: This study found that teleophthalmology adoption rates were disproportionately lower in ophthalmology compared to other surgical departments, with provider characteristics such as gender, title, specialty, and years of practice influencing the likelihood of adoption.
TELEMEDICINE AND E-HEALTH
(2021)
Article
Health Care Sciences & Services
Dana Barequet, Shay Gutfreund, Michaella Goldstein, Anat Loewenstein, Ronni Gamzu, David Varssano
Summary: The study demonstrated that during the COVID-19 pandemic, the telemedicine approach had high specificity but low sensitivity in diagnosing keratoconus patients' progression, making it unsuitable as an alternative for in-person follow-up for patients.
TELEMEDICINE AND E-HEALTH
(2022)