Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Ocular Findings at Two Health Centers
| Autor: | Megan Acito, Joseph Okudolo, Rita Eburuoh, L. Jay Katz, Jeanne Molineaux, Tingting Zhan, Jennifer Adeghate, Kunal Malik, Jeffrey D Henderer, Lisa A Hark |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Telemedicine medicine.medical_specialty genetic structures Ocular Pathology Glaucoma Ocular hypertension Diagnostic Techniques Ophthalmological Fundus (eye) Cataract 03 medical and health sciences 0302 clinical medicine Patient satisfaction Ophthalmology Diabetes Mellitus medicine Humans Mass Screening Prospective Studies Aged Aged 80 and over Philadelphia Primary Health Care business.industry Racial Groups Public Health Environmental and Occupational Health Middle Aged medicine.disease eye diseases medicine.anatomical_structure Socioeconomic Factors Patient Satisfaction Hypertension 030221 ophthalmology & optometry Optic nerve Female Ocular Hypertension sense organs business 030217 neurology & neurosurgery Follow-Up Studies Optic disc |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 29:1400-1415 |
| ISSN: | 1548-6869 |
| DOI: | 10.1353/hpu.2018.0103 |
| Popis: | Blindness from glaucoma can be prevented by early detection and treatment. Telemedicine improves access to treatment in high-risk populations that face barriers to receiving adequate ophthalmic care. We used a practice-based telemedicine screening model at two health centers. Telemedicine imaging of the fundus and optic nerve, followed by a complete eye exam at the same location for participants with abnormal findings, unreadable images, or ocular hypertension (OHTN), was performed. A total of 182 participants were screened, of whom 108 qualified for a complete eye exam. Of these, 62 (34.1%) had abnormal images, 12 (6.6%) had OHTN, and 34 (18.7%) had unreadable images. Eighty-nine of the 108 (82%) returned for the complete eye exam. Predominantly, participants were African American with glaucoma suspect and cataract. Screening location was an important factor for follow-up. Assessment of the fundus and optic disc using telemedicine resulted in early detection of glaucoma and other ocular pathology. |
| Databáze: | OpenAIRE |
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