Feasibility of telemedicine program using a hand-held nonmydriatic retinal camera in Panama  

作　　者：Alexander SHimstead Janani Prasad Sean Melucci Kevin MGustafson Paul EIsraelsen Andrew Browne 

机构地区：[1]School of Medicine,University of California,Irvine,California 92697,USA [2]Gavin Herbert Eye Institute,Department of Ophthalmology,University of California,Irvine,California 92697,USA

出　　处：《International Journal of Ophthalmology(English edition)》2022年第6期962-966,共5页国际眼科杂志（英文版）

摘　　要：AIM: To evaluate the image quality of a telemedicine screening program for retinal disease using a nonmydriatic camera among rural island communities in Bocas del Toro, Panama.METHODS: In June 2018, a group of three medical students volunteered at clinics operated by the Floating Doctors in the province of Bocas del Toro, Panama. Nonmydriatic images of the retina were obtained using the Pictor Plus(Volk Optical, Mentor OH), randomized, and sent to two board-certified ophthalmologists at the University of California, Irvine for analysis using a modified version of the FOTO-ED scale. Inter-rater reliability was calculated using the kappa statistic.RESULTS: Seventy patients provided a total of 127 images. Average image quality was 3.31, and most frequent image quality was 4/5 on the FOTO-ED scale. Thirty patients had at least one eye image with ideal quality(42.86%), while only one patient had no adequate photos taken(1.43%). However, high quality images were obtained in both eyes in only 12 patients(17.14%). The inter-rater reliability between the two ophthalmologists was 0.614.CONCLUSION: Further improvements are necessary to acquire higher quality images more reliably. This may include further training and experience or mydriasis.

关 键 词：TELEMEDICINE RETINA nonmydriatic camera FUNDUS screening FEASIBILITY low-resource setting 

分 类 号：R770.4[医药卫生—眼科]