ArticleJournal of telemedicine and telecare2017
Telemedicine for ophthalmic consultation services: use of a portable device and layering information for graders.
Article in Journal of telemedicine and telecare, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed.
- The Use Of Fundus Photography In The Emergency Room-A Review.Current neurology and neuroscience reports · 2025Review
- Telemedicine for Cornea and External Disease: A Scoping Review of Imaging Devices.Ophthalmology and therapy · 2023Article
- Portable Anterior Eye Segment Imaging System for Teleophthalmology.Translational vision science & technology · 2023Article
- Diabetic Retinopathy Screening Using a Portable Retinal Camera in Vanuatu.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- Accuracy of Remote Diagnosis of Acute Posterior Segment Pathology by Residents and Attendings Captured with a Smartphone and Standard 20/28D Lens.Clinical ophthalmology (Auckland, N.Z.) · 2022Article
- Allergic Fungal Sinusitis: Ophthalmic Complications Due to the COVID-19 Pandemic and the Potential of Telemedicine.Cureus · 2021Article
- Ophthalmology Practice During the Coronavirus Disease 2019 Pandemic: The University of Pittsburgh Experience in Promoting Clinic Safety and Embracing Video Visits.Ophthalmology and therapy · 2020Article
- Could telehealth help eye care practitioners adapt contact lens services during the COVID-19 pandemic?Contact lens & anterior eye : the journal of the British Contact Lens Association · 2020Article
- Point of Care Image Capture with a Custom Smartphone Application: Experience with an Encounter-Based Workflow.Journal of digital imaging · 2020Article
- Nonmydriatic Fundus Photography in Patients with Acute Vision Loss.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019Article
- Smartphone-Based, Rapid, Wide-Field Fundus Photography for Diagnosis of Pediatric Retinal Diseases.Translational vision science & technology · 2019Article
- Article
- A Smartphone-Based Tool for Rapid, Portable, and Automated Wide-Field Retinal Imaging.Translational vision science & technology · 2018Article
- Accuracy and Reliability of a Handheld, Nonmydriatic Fundus Camera for the Remote Detection of Optic Disc Edema.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2018Article
- Factors Affecting Visits to the Emergency Department for Urgent and Nonurgent Ocular Conditions.Ophthalmology · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Introduction We compared remote, image-based patient consultations to in-person consultations at emergency department and inpatient hospital settings. Methods Patients evaluated by the ophthalmic consultation services (gold standard) were imaged over a two-week period. A trained study coordinator took anterior segment photographs (AS) and posterior segment photographs (PS) with a portable camera (PictorPlus, Volk Optical, Cleveland, OH). Ophthalmologists (graders) determined photograph quality, presence of pathology, and their confidence in disease detection. At a separate session, graders reassessed photographs accompanied by a one-sentence summary of demographics and chief complaint (CHx). We computed accuracy and reliability statistics. Results We took AS photographs of 24 eyes of 15 patients and PS photographs of 39 eyes of 20 patients. The majority of images were rated as acceptable or excellent in quality (AS: 89-96%; PS: 70-75%). Graders detected AS pathology with 62-81% sensitivity based on photographs, increasing to 87-88% sensitivity with photographs plus CHx. Graders detected PS pathology with 79-86% sensitivity based on a photograph only, increasing to 100% sensitivity with photographs plus CHx. Discussion In this pilot study, there is evidence that portable ophthalmic imaging technologies could enable ophthalmologists to remotely evaluate anterior and posterior segment eye diseases with good sensitivity. The ophthalmologist could detect ocular pathology on photographs more accurately if they were provided brief clinical information.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.