ArticlePloS one2020
The use of telemedicine to support Brazilian primary care physicians in managing eye conditions: The TeleOftalmo Project.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 48 citations in OpenAlex.
- Trial
- Broad-spectrum eye disease classification using a deep learning-based tailored software lens.PloS one · 2025Article
- Advancing healthcare with artificial intelligence: diagnostic accuracy of machine learning algorithm in diagnosis of diabetic retinopathy in the Brazilian population.Diabetology & metabolic syndrome · 2024Article
- Clinical Perspectives on the Use of Computer Vision in Glaucoma Screening.Medicina (Kaunas, Lithuania) · 2024Review
- Comprehensive Primary Eye Care: A Comparison Between an In-Person Eye Exam and a Tele-Eye Care Exam.Clinical optometry · 2024Article
- Surfing the COVID-19 Tsunami with Teleophthalmology: the Advent of New Models of Eye Care.Current ophthalmology reports · 2023Review
- Teleconsultation at a public ophthalmic teaching hospital during the COVID-19 pandemic.Arquivos brasileiros de oftalmologia · 2022Article
- Applications of Telemedicine in the Middle East and North Africa Region: Benefits Gained and Challenges Faced.Cureus · 2022Review
- Ophthalmic image acquired by ophthalmologists and by allied health personnel as part of a telemedicine strategy: a comparative study of image quality.Eye (London, England) · 2021Article
- Article
- Utility of teleconsultation in accessing eye care in a developing country during COVID-19 pandemic.PloS one · 2021Article
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Authors and funding
20 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine whether teleophthalmology can help physicians in assessing and managing eye conditions and to ascertain which clinical conditions can be addressed by teleophthalmology in primary care setting.
methodsWe evaluated the resolution capacity of TeleOftalmo, strategy implemented in the public health system of southern Brazil. Resolution capacity was defined as the ability to fully address patients' eye complaints in primary care with remote assistance from ophthalmologists. Data from tele-eye reports were collected over 14 months. Resolution capacity was compared across different age groups and different ocular conditions.
resultsOverall, 8,142 patients had a tele-eye report issued in the study period. Resolution capacity was achieved in 5,748 (70.6%) patients. When stratified into age groups, the lowest capacity was 43.1% among subjects aged ≥65 years, while the highest was 89.7% among subjects aged 13-17 years (p<0.001). Refractive error (70.3%) and presbyopia (56.3%) were the most prevalent conditions followed by cataract (12.4%) and suspected glaucoma (7.6%). Resolution capacity was higher in cases of refractive error, presbyopia, spasm of accommodation and lid disorders than in patients diagnosed with other condition (p<0.001).
conclusionsWith telemedicine support, primary care physicians solved over two-thirds of patients' eye or vision complaints. Refractive errors had high case resolution rates, thus having a great impact on reducing the number of referrals to specialty care. Teleophthalmology adoption in primary-care settings as part of the workup of patients with eye or vision complaints promotes a more effective use of specialty centers and will hopefully reduce waiting times for specialty referral.
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