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

Simon P Kelly1, Ian Wallwork2, David Haider1, Kashif Qureshi11Ophthalmology Department, Royal Bolton Hospital National Health Service Foundation Trust, Bolton, 2Wallwork Opticians, Salford, UKPurpose: To describe a quality improvement for referral of National Health Service patients with macular dis...

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Autores principales:	Kelly SP, Wallwork I, Haider D, Qureshi K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0ff67bc11c554653a546fba3607962cf
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spelling	oai:doaj.org-article:0ff67bc11c554653a546fba3607962cf2021-12-02T00:26:58ZTeleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients1177-54671177-5483https://doaj.org/article/0ff67bc11c554653a546fba3607962cf2011-12-01T00:00:00Zhttp://www.dovepress.com/teleophthalmology-with-optical-coherence-tomography-imaging-in-communi-a8774https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Simon P Kelly1, Ian Wallwork2, David Haider1, Kashif Qureshi11Ophthalmology Department, Royal Bolton Hospital National Health Service Foundation Trust, Bolton, 2Wallwork Opticians, Salford, UKPurpose: 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 &ldquo;face-to-face&rdquo; 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&rsquo; opinion, a tool to improve interdisciplinary professional working with community optometrists. Implications for progress are discussed.Keywords: telemedicine, teleophthalmology, innovation, community referral, optical coherence tomography, service evaluationKelly SPWallwork IHaider DQureshi KDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1673-1678 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kelly SP Wallwork I Haider D Qureshi K Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients
description	Simon P Kelly1, Ian Wallwork2, David Haider1, Kashif Qureshi11Ophthalmology Department, Royal Bolton Hospital National Health Service Foundation Trust, Bolton, 2Wallwork Opticians, Salford, UKPurpose: 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 &ldquo;face-to-face&rdquo; 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&rsquo; opinion, a tool to improve interdisciplinary professional working with community optometrists. Implications for progress are discussed.Keywords: telemedicine, teleophthalmology, innovation, community referral, optical coherence tomography, service evaluation
format	article
author	Kelly SP Wallwork I Haider D Qureshi K
author_facet	Kelly SP Wallwork I Haider D Qureshi K
author_sort	Kelly SP
title	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_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_sort	teleophthalmology with optical coherence tomography imaging in community optometry. evaluation of a quality improvement for macular patients
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/0ff67bc11c554653a546fba3607962cf
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Teleophthalmology with optical coherence tomography imaging in community optometry. Evaluation of a quality improvement for macular patients

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