ArticleMaedica2026
Smartphone-Based Slit-Lamp Photodocumentation in Microbial Keratitis: a Prospective Study.
Article in Maedica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To evaluate the utility of smartphone-assisted slit-lamp photo documentation as an adjunct to routine clinical care for documenting disease progression and supporting patient counselling and treatment follow-up in patients with microbial keratitis. Methods: This prospective observational study included 38 patients diagnosed with microbial keratitis who presented to a tertiary eye care centre between January 2023 and June 2024. Serial slit-lamp photographs were obtained using a handheld smartphone camera under standardised settings at presentation, day 3, week 1, week 2, week 3 and one month. Clinical findings, visual acuity, disease progression, patient compliance were evaluated. Data were analysed using SPSS version 26, with statistical significance set at p < 0.05. Results: The mean age of the study population was 40.5 years, with fungal keratitis accounting for 65.8% of cases. At one month, 71% of patients achieved complete clinical healing, while 28 out of 38 patients (73.7%) demonstrated good treatment compliance. An improvement in visual acuity was observed during follow-up. Smartphone-based slit-lamp imaging provided reproducible, high-quality clinical documentation and facilitated serial assessment of disease progression during follow-up. Conclusion: Smartphone-assisted slit-lamp photo documentation is an inexpensive, practical, and reliable technique for documenting microbial keratitis. It may facilitate patient counselling and treatment follow-up and was associated with good observed treatment compliance in this prospective observational study. Further controlled studies are required to determine whether photographic counselling directly improves treatment adherence.
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