Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging

Jing Xian Lee,1 Vina Manjunath,2 S James Talks2 1Faculty of Medicine, Newcastle University, Newcastle upon Tyne, UK; 2Newcastle Eye Centre, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK Background: An increasingly elderly population with a corresponding increase in ophthalmic c...

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Autores principales:	Lee JX, Manjunath V, Talks SJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	virtual clinic ultra-widefield imaging medical retina diabetic retinopathy teleophthalmology Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/8bb43f830e644ccdb0c287c5a8c85d22
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spelling	oai:doaj.org-article:8bb43f830e644ccdb0c287c5a8c85d222021-12-02T04:15:23ZExpanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging1177-5483https://doaj.org/article/8bb43f830e644ccdb0c287c5a8c85d222018-11-01T00:00:00Zhttps://www.dovepress.com/expanding-the-role-of-medical-retina-virtual-clinics-using-multimodal--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jing Xian Lee,1 Vina Manjunath,2 S James Talks2 1Faculty of Medicine, Newcastle University, Newcastle upon Tyne, UK; 2Newcastle Eye Centre, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK Background: An increasingly elderly population with a corresponding increase in ophthalmic conditions has led to increased pressure on hospital eye services (HES). In this study, we evaluated the use of a medical retina virtual clinic (MRVC), which has expanded into assessing all new medical retina referrals, where the need for urgent treatment was not clear. Methods: Retrospective analysis of all new patients who were seen in the MRVC between April 2016 and May 2018. Pro forma sheets were used in the MRVC to record the patient history, visual acuity, and type of imaging required. Two consultants reviewed the completed pro formas and images and provided a final diagnosis and management plan. These results and reasons for face-to-face (F2F) clinic appointment requests were analyzed. Results: Six hundred ten new referrals were enrolled in the virtual clinic. The most common diagnosis was diabetic eye disease (59.9%). In the virtual clinic 44.1% were followed up, 28.1% were discharged, and 27.8% were booked an F2F clinic appointment (urgent/routine). The main reason for F2F clinic was to offer treatment. Urgent F2F appointments took place on average 11.9 days after virtual clinic attendance. In only two cases was the image quality felt to be inadequate to assess the retina. Conclusions: MRVC is an effective way of triaging medical retina referrals to allow those patients needing treatment to be seen promptly in the medical retinal service. The use of multimodal ultra-widefield and optical coherence tomography imaging allows assessment of a wide range of retinal pathologies and is a promising solution to alleviate the burden on HES. Keywords: virtual clinic, optical coherence tomography, macular degeneration, choroidal naevus, diabetic retinopathy, teleophthalmologyLee JXManjunath VTalks SJDove Medical Pressarticlevirtual clinicultra-widefield imagingmedical retinadiabetic retinopathyteleophthalmologyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2337-2345 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	virtual clinic ultra-widefield imaging medical retina diabetic retinopathy teleophthalmology Ophthalmology RE1-994
spellingShingle	virtual clinic ultra-widefield imaging medical retina diabetic retinopathy teleophthalmology Ophthalmology RE1-994 Lee JX Manjunath V Talks SJ Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging
description	Jing Xian Lee,1 Vina Manjunath,2 S James Talks2 1Faculty of Medicine, Newcastle University, Newcastle upon Tyne, UK; 2Newcastle Eye Centre, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK Background: An increasingly elderly population with a corresponding increase in ophthalmic conditions has led to increased pressure on hospital eye services (HES). In this study, we evaluated the use of a medical retina virtual clinic (MRVC), which has expanded into assessing all new medical retina referrals, where the need for urgent treatment was not clear. Methods: Retrospective analysis of all new patients who were seen in the MRVC between April 2016 and May 2018. Pro forma sheets were used in the MRVC to record the patient history, visual acuity, and type of imaging required. Two consultants reviewed the completed pro formas and images and provided a final diagnosis and management plan. These results and reasons for face-to-face (F2F) clinic appointment requests were analyzed. Results: Six hundred ten new referrals were enrolled in the virtual clinic. The most common diagnosis was diabetic eye disease (59.9%). In the virtual clinic 44.1% were followed up, 28.1% were discharged, and 27.8% were booked an F2F clinic appointment (urgent/routine). The main reason for F2F clinic was to offer treatment. Urgent F2F appointments took place on average 11.9 days after virtual clinic attendance. In only two cases was the image quality felt to be inadequate to assess the retina. Conclusions: MRVC is an effective way of triaging medical retina referrals to allow those patients needing treatment to be seen promptly in the medical retinal service. The use of multimodal ultra-widefield and optical coherence tomography imaging allows assessment of a wide range of retinal pathologies and is a promising solution to alleviate the burden on HES. Keywords: virtual clinic, optical coherence tomography, macular degeneration, choroidal naevus, diabetic retinopathy, teleophthalmology
format	article
author	Lee JX Manjunath V Talks SJ
author_facet	Lee JX Manjunath V Talks SJ
author_sort	Lee JX
title	Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging
title_short	Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging
title_full	Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging
title_fullStr	Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging
title_full_unstemmed	Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging
title_sort	expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/8bb43f830e644ccdb0c287c5a8c85d22
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Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging

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