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

Indian J Ophthalmol. Sep-Oct 2009;57(5):381-4. doi: 10.4103/0301-4738.55078.

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.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Diagnostic Techniques, Ophthalmological
  • Eyelid Diseases / diagnosis*
  • Eyelid Diseases / therapy
  • Female
  • Humans
  • India
  • Lacrimal Apparatus Diseases / diagnosis*
  • Lacrimal Apparatus Diseases / therapy
  • Male
  • Ophthalmology / methods*
  • Orbital Diseases / diagnosis*
  • Orbital Diseases / therapy
  • Remote Consultation / methods*
  • Reproducibility of Results
  • Retrospective Studies
  • Telemetry / methods*
  • Young Adult