Indian Journal of Ophthalmology

LETTER TO THE EDITOR
Year
: 2021  |  Volume : 69  |  Issue : 1  |  Page : 163--164

Comments on: A pilot study on the perspectives of pediatric ophthalmologists and their patients towards online consultation during COVID-19 lockdown in India


Srinivasan Sanjay1, Chaitra Jayadev2, Anand Vinekar3, Arushi Garg4, Rohit Shetty4,  
1 Department of Uvea and Ocular Immunology, Narayana Nethralaya, Bangalore, Karnataka, India
2 Department of Retina, Narayana Nethralaya, Bangalore, Karnataka, India
3 Department of Paediatric Retina, Narayana Nethralaya, Bangalore, Karnataka, India
4 Department of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, Karnataka, India

Correspondence Address:
Dr. Srinivasan Sanjay
Consultant, Department of Uvea and Ocular immunology, Narayana Nethralaya, Bangalore, Karnataka
India




How to cite this article:
Sanjay S, Jayadev C, Vinekar A, Garg A, Shetty R. Comments on: A pilot study on the perspectives of pediatric ophthalmologists and their patients towards online consultation during COVID-19 lockdown in India.Indian J Ophthalmol 2021;69:163-164


How to cite this URL:
Sanjay S, Jayadev C, Vinekar A, Garg A, Shetty R. Comments on: A pilot study on the perspectives of pediatric ophthalmologists and their patients towards online consultation during COVID-19 lockdown in India. Indian J Ophthalmol [serial online] 2021 [cited 2021 Mar 8 ];69:163-164
Available from: https://www.ijo.in/text.asp?2021/69/1/163/303299


Full Text



Dear Editor,

We read with interest the article by Kothari et al.[1] In their survey of paediatric ophthalmologists (POs), the response rate was 43%, with more females (61.5%) respondents. When the authors mention “e-consultation,” did they refer to it as email consultation? This was not clear in their the article. Did they ascertain the reason why this was preferred over video consultation, which offers real-time examination though the camera and more connect with the patient? Interestingly, 60% of their patients preferred video consultation over “e-consultation”. An insight into the different diagnoses made during their video consultations would help other practitioners. For first time consultations – how accurate was the diagnosis and were these entirely new visits or follow up patients who opted for their first teleconsultation?

We have been doing teleconsultations for our paediatric patients for over 2 months through our customized application, which can be downloaded from the App store™ or the Google Play store™.[2] This application allows uploading of patient documents and photographs prior to the consultation, which aids in diagnosis and further management. Our paediatric patient profile for teleconsultations includes allergic conjunctivitis, blepharitis, hordeolum, squints, and some cases of congenital cataract. Even ex-preemies screened for retinopathy of prematurity (ROP) can undergo cortical vision impairment and binocular vision abnormalities assessment with appropriate therapy online. Follow-up of previously operated squint and cataract surgeries and lasered ROP babies was also done through the application. Paediatric teleconsultations are particularly challenging as children can get distracted easily and hence a challenge for the PO to come to an accurate diagnosis at times. With advancing technology and improved applications, it is possible for the parents to do small assessments at home prior to the consultation to make it more comprehensive.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Kothari M, Rathod V, Sugathan S, Kothari MM. A pilot study on the perspectives of pediatric ophthalmologists and their patients towards online consultation during COVID-19 lockdown in India. Indian J Ophthalmol 2020;68:1494-5.
2Jayadev C, Mahendradas P, Vinekar A, Kemmanu V, Gupta R, Pradhan ZS, et al. Tele-consultations in the wake of COVID-19 – Suggested guidelines for clinical ophthalmology. Indian J Ophthalmol 2020;68:1316-27.