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Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients

PURPOSE: To describe a quality improvement for referral of National Health Service patients with macular disorders from a community optometry setting in an urban area. METHODS: Service evaluation of teleophthalmology consultation based on spectral domain optical coherence tomography images acquired...

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Detalles Bibliográficos
Autores principales: Kelly, Simon P, Wallwork, Ian, Haider, David, Qureshi, Kashif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236713/
https://www.ncbi.nlm.nih.gov/pubmed/22174576
http://dx.doi.org/10.2147/OPTH.S26753
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author Kelly, Simon P
Wallwork, Ian
Haider, David
Qureshi, Kashif
author_facet Kelly, Simon P
Wallwork, Ian
Haider, David
Qureshi, Kashif
author_sort Kelly, Simon P
collection PubMed
description PURPOSE: To describe a quality improvement for referral of National Health Service patients with macular disorders from a community optometry setting in an urban area. METHODS: Service evaluation of teleophthalmology consultation based on spectral domain optical coherence tomography images acquired by the community optometrist and transmitted to hospital eye services. RESULTS: Fifty patients with suspected macular conditions were managed via telemedicine consultation over 1 year. Responses were provided by hospital eye service-based ophthalmologists to the community optometrist or patient within the next day in 48 cases (96%) and in 34 (68%) patients on the same day. In the consensus opinion of the optometrist and ophthalmologist, 33 (66%) patients required further “face-to-face” medical examination and were triaged on clinical urgency. Seventeen cases (34%) were managed in the community and are a potential cost improvement. Specialty trainees were supervised in telemedicine consultations. CONCLUSION: Innovation and quality improvement were demonstrated in both optometry to ophthalmology referrals and in primary optometric care by use of telemedicine with spectral domain optical coherence tomography images. E-referral of spectral domain optical coherence tomography images assists triage of macular patients and swifter care of urgent cases. Teleophthalmology is also, in the authors’ opinion, a tool to improve interdisciplinary professional working with community optometrists. Implications for progress are discussed.
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spelling pubmed-32367132011-12-15 Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients Kelly, Simon P Wallwork, Ian Haider, David Qureshi, Kashif Clin Ophthalmol Original Research PURPOSE: To describe a quality improvement for referral of National Health Service patients with macular disorders from a community optometry setting in an urban area. METHODS: Service evaluation of teleophthalmology consultation based on spectral domain optical coherence tomography images acquired by the community optometrist and transmitted to hospital eye services. RESULTS: Fifty patients with suspected macular conditions were managed via telemedicine consultation over 1 year. Responses were provided by hospital eye service-based ophthalmologists to the community optometrist or patient within the next day in 48 cases (96%) and in 34 (68%) patients on the same day. In the consensus opinion of the optometrist and ophthalmologist, 33 (66%) patients required further “face-to-face” medical examination and were triaged on clinical urgency. Seventeen cases (34%) were managed in the community and are a potential cost improvement. Specialty trainees were supervised in telemedicine consultations. CONCLUSION: Innovation and quality improvement were demonstrated in both optometry to ophthalmology referrals and in primary optometric care by use of telemedicine with spectral domain optical coherence tomography images. E-referral of spectral domain optical coherence tomography images assists triage of macular patients and swifter care of urgent cases. Teleophthalmology is also, in the authors’ opinion, a tool to improve interdisciplinary professional working with community optometrists. Implications for progress are discussed. Dove Medical Press 2011 2011-12-01 /pmc/articles/PMC3236713/ /pubmed/22174576 http://dx.doi.org/10.2147/OPTH.S26753 Text en © 2011 Kelly et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Original Research
Kelly, Simon P
Wallwork, Ian
Haider, David
Qureshi, Kashif
Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients
title Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients
title_full Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients
title_fullStr Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients
title_full_unstemmed Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients
title_short Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients
title_sort teleophthalmology with optical coherence tomography imaging in community optometry. evaluation of a quality improvement for macular patients
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236713/
https://www.ncbi.nlm.nih.gov/pubmed/22174576
http://dx.doi.org/10.2147/OPTH.S26753
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