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

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Date
2009-09
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Abstract
Purpose: To assess the feasibility of making a diagnosis of adnexal and orbital diseases by Tele-ophthalmological 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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Keywords
Adnexal diseases, orbit, tele-ophthalmology
Citation
Verma Malay, Raman Rajiv, Mohan Ravindra E. Application of tele-ophthalmology in remote diagnosis and management of adnexal and orbital diseases. Indian Journal of Ophthalmology. 2009 Sept; 57(5): 381-384.