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Feasibility of tele-ophthalmology for screening for eye disease in remote communities.

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Title: Feasibility of tele-ophthalmology for screening for eye disease in remote communities.
Authors: Li-Sheng Chen1, Ching-Yao Tsai2,3, Tzeng-Ying Liu4, Tao-Hsin Tung3, Yueh-Hsia Chiu1, Chang-Chuan Chan5, Der-Ming Liou1, Tony Hsiu-Hsi Chen6 stony@episerv.cph.ntu.edu.tw
Source: Journal of Telemedicine & Telecare. Dec2004, Vol. 10 Issue 6, p337-341. 5p. 1 Diagram, 4 Charts, 1 Map.
Subjects: Telemedicine, Ophthalmology, Eye diseases, Diagnosis
Geographic Terms: Taiwan
Abstract: We assessed the feasibility of tele-ophthalmology in a remote location, Tungyin, an island 200 km from Taiwan, which has no ophthalmologist. Screening for eye diseases was carried out among residents aged 40 years or more. A total of 113 subjects, approximately 31% of the whole population, were enrolled in the screening programme. Images were transmitted (via ADSL) to a retinal specialist in Taiwan for diagnosis. The average processing time, excluding the time for copying files, was 6.4 s (SD 2.1) per subject. Transmission took 60–90 s for most of the images (83%). The average time required to make a diagnosis for each subject, including data entry, was approximately 34 s (SD 18). In screening for retinopathy, the detection rate with digital imaging (8.8%) was two times higher than with indirect ophthalmoscopy (4.4%). In 12% of cases macular degeneration was identified, and in 6% there were mild or moderate problems with the optic disc. Community-based screening for four categories of eye disease was successfully demonstrated using store-and-forward tele-ophthalmology. [ABSTRACT FROM AUTHOR]
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Database: Engineering Source
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Abstract:We assessed the feasibility of tele-ophthalmology in a remote location, Tungyin, an island 200 km from Taiwan, which has no ophthalmologist. Screening for eye diseases was carried out among residents aged 40 years or more. A total of 113 subjects, approximately 31% of the whole population, were enrolled in the screening programme. Images were transmitted (via ADSL) to a retinal specialist in Taiwan for diagnosis. The average processing time, excluding the time for copying files, was 6.4 s (SD 2.1) per subject. Transmission took 60–90 s for most of the images (83%). The average time required to make a diagnosis for each subject, including data entry, was approximately 34 s (SD 18). In screening for retinopathy, the detection rate with digital imaging (8.8%) was two times higher than with indirect ophthalmoscopy (4.4%). In 12% of cases macular degeneration was identified, and in 6% there were mild or moderate problems with the optic disc. Community-based screening for four categories of eye disease was successfully demonstrated using store-and-forward tele-ophthalmology. [ABSTRACT FROM AUTHOR]
ISSN:1357633X
DOI:10.1258/1357633042602035