Telemedical evaluation of ocular adnexa and anterior segment

Am J Ophthalmol. 1999 Apr;127(4):464-6. doi: 10.1016/s0002-9394(98)00355-9.


Purpose: To report the accuracy of telemedical slit-lamp evaluation in examination of ocular adnexa and anterior segment.

Methods: By means of contingency tables, slit-lamp findings by live examination and by real-time telemedicine were compared in 50 eyes of 25 patients.

Results: Sensitivity percentages (proportion with findings correctly identified by telemedicine)/specificity percentages (proportion without the finding that was correctly identified by telemedicine) were 100/64 for eyelid mass, 100/85 for conjunctival pigment, 100/100 for posterior synechiae, 80/0 for blepharitis, 83/93 for iridotomy, 70/93 for pinguecula, 75/93 for iris lesions, 56/98 for corneal scar, 0/100 for chamber inflammation, 57/93 for nuclear cataract, and 37/100 for intraocular lens presence.

Conclusions: By means of monocular slit-lamp telemedical evaluation, clinical findings with high contrast cues for color and depth have the highest sensitivity and specificity.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anterior Eye Segment / pathology*
  • Conjunctival Diseases / diagnosis
  • Diagnostic Techniques, Ophthalmological*
  • Eye Diseases / diagnosis*
  • Eyelid Diseases / diagnosis
  • Humans
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Telemedicine*