Application of tele-ophthalmology in remote diagnosis and management of adnexal and orbital diseases

Verma, Malay; Raman, Rajiv; Mohan, Ravindra E.
November 2009
Indian Journal of Ophthalmology;Nov2009, Vol. 57 Issue 5, p381
Academic Journal
Purpose: To assess the feasibility of making a diagnosis of adnexal and orbital diseases by Teleophthalmological means. Materials and Methods: Tele-consultation for eye diseases was done for 3497 patients from remote areas of Tamilnadu as part of the rural tele-ophthalmology project of a tertiary eye care hospital during a period of nine months from October 2004 to June 2005. These patients were comprehensively examined on-site by optometrists. Using digitized images sent by store and forward technique and videoconferencing, the ophthalmologist made a diagnosis and advised treatment. Results: Adnexal or orbital diseases were detected in 101 out of 3497 patients (2.88%). Medical treatment was advised to 13 of 101 patients (12.8%). Surgery was advised in 62 of 101 patients (61.28%) whereas 18 of 101 patients (17.8%) required further investigations at a tertiary center. Conclusion: It was feasible to apply the satellite based tele-ophthalmology set-up for making a presumptive diagnosis and planning further management of adnexal and orbital diseases based on live interaction and digital still images of the patients.


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