Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Ocular Findings at Two Health Centers

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...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2018-11, Vol.29 (4), p.1400-1415
Main Authors: Hark, Lisa, Acito, Megan, Adeghate, Jennifer, Henderer, Jeffrey, Okudolo, Joseph, Malik, Kunal, Molineaux, Jeanne, Eburuoh, Rita, Zhan, Tingting, Katz, L. Jay
Format: Article
Language:English
Subjects:
African Americans
Age
Blindness
Clinical trials
Consent
Diabetes
Ethnicity
Eye
Eye diseases
Family medical history
Glaucoma
Health facilities
High risk
Hospitals
Hypertension
Medical screening
Optic nerve
Pathology
Public health
Risk assessment
Socioeconomic factors
Systematic review
Task forces
Telemedicine
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Summary: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.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2018.0103