Is Telemedicine the Future of Glaucoma? - ECronicon
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Is Telemedicine the Future of Glaucoma? - ECronicon
Nov 27, 2018 - Therefore, a global effort to solve such medico- social problem as a ... Glaucoma management algorithm should also incorporate virtual glau-.
Cronicon O P EN
A C C ESS
EC OPHTHALMOLOGY Opinion
Is Telemedicine the Future of Glaucoma? Marianne L Shahsuvaryan* Professor of Ophthalmology, Yerevan State Medical University, Republic of Armenia
*Corresponding Author: Marianne L Shahsuvaryan, Professor of Ophthalmology, Yerevan State Medical University, Republic of
Armenia.
Received: October 31, 2018
Currently the glaucoma is a main cause of visual impairment and blindness all around the world. Worldwide statistics in 2013 have
shown that 64.3 million people are affected. The estimated number of patients suffered from glaucoma will reach 111.8 million by the year 2040 [1]. Affected by glaucoma individuals will continue to suffer and healthcare costs will rise exponentially unless the disease can be diagnosed early and treated effectively [2]. Therefore, a global effort to solve such medico- social problem as a glaucoma must be
based on the systematic eye screening, which gives physicians a chance to minimize damage in early detection. Performing retinal screening examinations on all older adults is an unmet need, but hopefully miniaturized and portable ophthalmic diagnostic equipment such as a pocket-sized, solar-powered ophthalmoscope [3] and technological developments in retinal imaging; automatic analysis of retinal photographs by Software [4] and telehealth approach for remote management of cases, will enable ophthalmologists to detect referable
glaucoma providing more informed and more cost- effective care everywhere. Workflow and screening will be concentrated at the General
Practitioner’s office, where retinal photo could be taken and send to be analysed by approved software [5] with the following finally Glau-
coma consultant’s judgement and individualised management. Glaucoma management algorithm should also incorporate virtual glaucoma clinic advocated by Clarke., et al. [6] and Kotecha., et al. [7], intended to initiate timely vision-preserving treatment for our patients.
Bibliography
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Tham YC., et al. “Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and metaanalysis”. Ophthalmology 121.11 (2014): 2081-2090. Boodhna T and Crabb DP. “More frequent, more costly? Health economic modelling aspects of monitoring glaucoma patients in England”. BMC Health Services Research 16.1 (2016): 611. Blaikie A., et al. “Arclight: a pocket ophthalmoscope for the 21st century”. British Medical Journal 355 (2016): i6637.
Xia T., et al. “Software-Assisted Depth Analysis of Optic Nerve Stereoscopic Images in Telemedicine”. International Journal of Telemedicine and Applications (2016): 7603507. Daskivich LP., et al. “Implementation and Evaluation of a Large-Scale Teleretinal Diabetic Retinopathy Screening Program in the Los Angeles County Department of Health Services”. JAMA Internal Medicine 177.5 (2017): 642-649.
Clarke J., et al. “Virtual clinics in glaucoma care: face-to-face versus remote decision-making”. British Journal of Ophthalmology 101.7 (2017): 892-895. Kotecha A., et al. “Qualitative investigation of patients’ experience of a glaucoma virtual clinic in a specialist ophthalmic hospital in London, UK”. BMJ Open 5.12 (2015): e009463.
