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COMMUNITY EYE CARE
Year : 2009  |  Volume : 57  |  Issue : 5  |  Page : 381-384

Application of tele-ophthalmology in remote diagnosis and management of adnexal and orbital diseases


Medical & Vision Research Foundation, Sankara Nethralaya, 18, College Road, Chennai-600 006, India

Correspondence Address:
Ravindra E Mohan
Medical & Vision Research Foundation, Sankara Nethralaya, 18, College Road, Chennai-600 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.55078

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Purpose: To assess the feasibility of making a diagnosis of adnexal and orbital diseases by Tele-ophthalmological means. Materials and Methods: Tele-consultation for eye diseases was done for 3497 patients from remote areas of Tamilnadu as part of the rural tele-ophthalmology project of a tertiary eye care hospital during a period of nine months from October 2004 to June 2005. These patients were comprehensively examined on-site by optometrists. Using digitized images sent by store and forward technique and videoconferencing, the ophthalmologist made a diagnosis and advised treatment. Results: Adnexal or orbital diseases were detected in 101 out of 3497 patients (2.88%). Medical treatment was advised to 13 of 101 patients (12.8%). Surgery was advised in 62 of 101 patients (61.28%) whereas 18 of 101 patients (17.8%) required further investigations at a tertiary center. Conclusion: It was feasible to apply the satellite based tele-ophthalmology set-up for making a presumptive diagnosis and planning further management of adnexal and orbital diseases based on live interaction and digital still images of the patients.


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