TY - JOUR
T1 - Tele-ophthalmology screening for retinal and anterior segment diseases
AU - Yogesan, K.
AU - Cuypers, Maximiliaan
AU - Barry, C.J.
AU - Constable, Ian
AU - Jitskaia, L.
PY - 2000
Y1 - 2000
N2 - A digital indirect ophthalmoscope (DIO) was developed and tested for use in tele-ophthalmology screening for posterior and anterior segment diseases. Using custom software, images from the DIO were digitized, compressed, stored and transmitted to a centralized eye clinic for interpretation. A total of 43 subjects were primarily screened for glaucoma using the DIG, a hand-held fundus camera and a stereo fundus camera. The photographic slides from the stereo fundus camera were used as gold standards. Images (390 x 300 pixels x 3 bits) were stored using a laptop computer together with patient information. Image quality received at the central eye clinic was good and showed adequate diagnostic information. An ophthalmologist estimated cup-disc ratios and graded the quality of the images. The sensitivity and specificity of each instrument was calculated. A high sensitivity and specificity was found when using the DIG, indicating that it could be used in tele-ophthalmic screenings. Further modifications are needed to make the instrument more user-friendly and to enable it to be used with undilated pupils, so that it can be easily operated by health-care personnel in remote areas. The camera can also be used to image gross external eye pathology.
AB - A digital indirect ophthalmoscope (DIO) was developed and tested for use in tele-ophthalmology screening for posterior and anterior segment diseases. Using custom software, images from the DIO were digitized, compressed, stored and transmitted to a centralized eye clinic for interpretation. A total of 43 subjects were primarily screened for glaucoma using the DIG, a hand-held fundus camera and a stereo fundus camera. The photographic slides from the stereo fundus camera were used as gold standards. Images (390 x 300 pixels x 3 bits) were stored using a laptop computer together with patient information. Image quality received at the central eye clinic was good and showed adequate diagnostic information. An ophthalmologist estimated cup-disc ratios and graded the quality of the images. The sensitivity and specificity of each instrument was calculated. A high sensitivity and specificity was found when using the DIG, indicating that it could be used in tele-ophthalmic screenings. Further modifications are needed to make the instrument more user-friendly and to enable it to be used with undilated pupils, so that it can be easily operated by health-care personnel in remote areas. The camera can also be used to image gross external eye pathology.
U2 - 10.1258/1357633001934302
DO - 10.1258/1357633001934302
M3 - Article
SN - 1357-633X
VL - 6
SP - 96
EP - 98
JO - Journal of Telemedicine and Telecare
JF - Journal of Telemedicine and Telecare
IS - Suppl 1
ER -
