The role of telemedicine in the assessment of strabismus

J Telemed Telecare. 2002;8(1):52-5. doi: 10.1258/1357633021937361.


Thirty patients with strabismus were seen face to face by an ophthalmologist and an orthoptist. The patients were then presented by the same orthoptist to a second ophthalmologist via a telemedicine link. Twenty-six patients were seen using a bandwidth of 384 kbit/s and four using 128 kbit/s. There was agreement between the two ophthalmologists about diagnosis and management in 24 cases, partial agreement in one and no agreement in five (17%). Manifest strabismus was safely diagnosed and managed using telemedicine at 128 kbit/s, although 384 kbit/s was preferred because it obviated the need for repeated examination. Latent strabismus and micro-movements were difficult to diagnose using telemedicine even at 384 kbit/s. Young patients who are unable to sit still would not be suitable for strabismus assessment via telemedicine.

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel
  • Female
  • Humans
  • Male
  • Middle Aged
  • Remote Consultation / instrumentation
  • Remote Consultation / standards*
  • Strabismus / diagnosis*
  • Telemetry / instrumentation
  • Telemetry / standards*