Published Mar 3, 2022



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar


Alejandro Serrano Serrano

Andrea Caycedo

Alfonso Ucrós

##plugins.themes.bootstrap3.article.details##

Abstract

Introduction: Doctors have had to adapt to an unknown and unexpected situation and within these changes it was necessary to use tools to which they have been a little reluctant to use, such as telemedicine to continue with the assessment of patients from different medical specialties such as ophthalmology. Aim: To show the results of the description of the experience of the practice of telemedicine in ophthalmology as a useful tool for access to a specialized consultation that would be decisive, during the time of the covid-19 pandemic in an ophthalmological center in Bogota Colombia. Materials and methods: A descriptive cross-sectional study was carried out including pediatric and adult patients who attended a telemedicine consultation with some of the 16 ophthalmologists of Oftalmosanitas, in the services of general ophthalmology, retina, glaucoma, cornea, pediatrics and uveitis, between 15 April and August 31, 2020. Variables such as age, sex, type of consultation, treating specialty, diagnosis and management plan were included. Results: Information was collected from 23,629 consultations, the average age was 53.6 years, 62.29% were women and 92.52% were of legal age. Regarding the perception of physicians, 100% considered that this consultation modality has been useful for the current contingency and that the majority of patients are satisfied with the care. Conclusions: The exercise of ophthalmology telemedicine in our institution managed to attend and solve a large number of consultations. In addition, this experience was widely accepted by doctors and patients as they gained access to specialized care that was able to solve most of the reasons for consultation by requesting diagnostic tests.

Keywords

telemedicine, ophthalmology, pandemics, social distancing

References
1. Saleem SZ, Pasquale LR, Sidoti PA, Tsai JC. Virtual ophthalmology: telemedicine in a COVID-19 era. Am J Ophthalmol. 2020;216:237-42.
2. Ministerio de Salud y Protección Social de Colombia. Telesalud y telemedicina para la prestación de servicios de salud en la pandemia por covid-19 [Internet]. 2020. Available from: https://www.minsalud.gov.co/Ministerio/Institucional/Procesos%20y%20procedimientos/PSSS04.pdf
3. Strouthidis NG, Chandrasekharan G, Diamond JP, Murdoch IE. Tele glaucoma: ready to go? Br J Ophthalmol. 2014;98(12):1605-11.
4. Rathi S, Tsui E, Mehta N, Zahid S, Schuman JS. The current state of teleophthalmology in the United States. Ophthalmology. 2017;124(12):1729-34.
5. Horton MB, Brady CJ, Cavallerano J, Abramoff M, Barker G, Chiang MF, et al. Practice guidelines for ocular telehealth-diabetic retinopathy. Third Edition. Telemed J E Health. 2020 Apr;26(4):495-543. htttps://doi.org/10.1089/tmj.2020.0006
6. Mohammadpour M, Heidari Z, Mirghorbani M, Hashemi H. Smartphones, tele-ophthalmology, and VISION 2020. Int J Ophthalmol. 2017;10(12):1909-18.
7. Legarreta JE, Conner IP, Loewen NA, Miller KV, Wingard J. The utility of iPhone-based imaging for tele-ophthalmology in a triage capacity for emergency room consultations. Invest. Ophthalmol Vis Sci. 2014;55(13):4876.
8. Suram V, Addepalli UK, Krishnaiah S, Kovai V, Khanna RC. Accuracy of vision technicians in screening ocular pathology at rural vision centers of southern India. Clin Exp Optom. 2016;99(2):183-7.
9. Martínez Rubio M, Moya M, Bellot Bernabé A, Belmonte Martínez J. Cribado de retinopatía diabética y teleoftalmología. Arch Soc Esp Oftalmol. 2012;87(12):392-5.
10. Kang S, Thomas PBM, Sim DA, Parker RT, Daniel C, Uddin JM. Oculoplastic video-based telemedicine consultations: covid-19 and beyond. Eye (Lond). 2020;34(7):1193-5.
11. Modjtahedi BS, Chu K, Luong TQ, Hsu C, Mattox C, Lee PP, et al. Two-year outcomes of a pilot glaucoma suspect telemedicine monitoring program. Clin Ophthalmol. 2018;12:2095-2102. htttps://doi.org/10.2147/OPTH.S171263
12. Grisolia ABD, Abalem MF, Lu Y, Aoki L, Matayoshi S. Teleophthalmology: where are we now? Arq Bras Oftalmol. 2017;80(6):401-6.
13. Surendran TS, Raman R. Teleophthalmology in diabetic retinopathy. J Diabetes Sci Technol. 2014;8(2):262-66.
14. Zanotto BS, Etges APBDS, Siqueira AC, Silva RSD, Bastos C, Araujo AL, Moreira TC, Matturro L, Polanczyk CA, Gonçalves M. Economic evaluation of a telemedicine service to expand primary health care in Rio Grande do Sul: TeleOftalmo's microcosting analysis. Cien Saude Colet. 2020;25(4):1349-60.
15. Avendaño-Veloso A, Parada-Hernández F, González-Ramos R, Dougnac-Osses C, Carrasco-Sáez JL, Scanlon PH. Teleophthalmology: a strategy for timely diagnosis of sight-threatening diabetic retinopathy in primary care, Concepción, Chile. Int J Ophthalmol. 2019;12(9):1474-8.
16. Keshvardoost S, Bahaadinibeigy K, Shadman H, Tafreshi AG, Baneshi MR. Design, development, and evaluation of a teleophthalmology system using a low-cost fundus camera. Acta Inform Med. 2020;28(1):12-17.
17. Arntz A, Khaliliyeh D, Cruzat A, Rao X, Rocha G, et col. Open-care telemedicine in ophthalmology during the COVID-19 pandemic: a pilot study. Arch Soc Esp Oftalmol. 2020 Dec;95(12):586-590. htttps://doi.org/10.1016/j.oftal.2020.09.005
18. Gan K, Liu Y, Stagg B, Rathi S, Pasquale LR, Damji K. Telemedicine for glaucoma: guidelines and recommendations. Telemed J E Health. 2020;26(4):551-5. htttps://doi.org/10.1089/tmj.2020.0009
19. Ramchandran RS, Yilmaz S, Greaux E, Dozier A. Patient perceived value of teleophthalmology in an urban, low-income US population with diabetes. PLoS One. 2020;15(1):e0225300. htttps://doi.org/10.1371/journal.pone.0225300
20. Fatehi F, Jahedi F, Tay-Kearney ML, Kanagasingam Y. Teleophthalmology for the elderly population: a review of the literature. Int J Med Inform. 2020 Apr;136:104089. htttps://doi.org/10.1016/j.ijmedinf.2020.104089
21. Saleem SM, Pasquale LR, Sidoti PA, Tsai JC. Virtual ophthalmology: telemedicine in a COVID-19 era. Am J Ophthalmol. 2020;216:237-42. htttps://doi.org/10.1016/j.ajo.2020.04.029
22. Nikolaidou A, Tsaousis KT. Teleophthalmology and artificial intelligence as game changers in ophthalmic care after the COVID-19 pandemic. Cureus. 2021;13(7):e16392. htttps://doi.org/10.7759/cureus.16392
How to Cite
Serrano Serrano, A., Caycedo, A., & Ucrós, A. . (2022). Telemedicine and Ophthalmology Amidst covid-19: A Descriptive Study. Universitas Medica, 63(1). https://doi.org/10.11144/Javeriana.umed63-1.tele
Section
Original Articles