Scribd
Upload
2K views11 pages

Tele-Ophthalmology: Access & Challenges

Tele-ophthalmology allows eye specialists to provide care to patients in remote areas through digital equipment and telecommunications. It can be used for screening, diagnosing, and monitoring ocular diseases as well as distant learning. Several projects have implemented tele-ophthalmology successfully in India to address the challenges of only 1 ophthalmologist per 100,000 people and the majority of health resources and population being in urban versus rural areas. Common diseases examined include diabetic retinopathy and standards like DICOM are used to ensure image quality and security.

Uploaded by

Abhishek Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
2K views11 pages

Tele-Ophthalmology: Access & Challenges

Tele-ophthalmology allows eye specialists to provide care to patients in remote areas through digital equipment and telecommunications. It can be used for screening, diagnosing, and monitoring ocular diseases as well as distant learning. Several projects have implemented tele-ophthalmology successfully in India to address the challenges of only 1 ophthalmologist per 100,000 people and the majority of health resources and population being in urban versus rural areas. Common diseases examined include diabetic retinopathy and standards like DICOM are used to ensure image quality and security.

Uploaded by

Abhishek Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Introduction to Tele-Ophthalmology: Explains the fundamental concept of Tele-Ophthalmology and its importance in delivering eye care to remote locations.
  • Diagnostic Steps: Illustrates the procedural steps involved in the diagnosis and treatment process in tele-ophthalmology.
  • Requirements and Challenges: Details the equipment and technological challenges faced in implementing tele-ophthalmology services.
  • Main Focus Areas: Describes the primary medical conditions targeted by tele-ophthalmology services for early diagnosis and treatment.
  • Service Modalities in Tele-Ophthalmology: Explains the two main approaches to providing tele-ophthalmology services: synchronous and asynchronous.
  • Service Delivery Models: Lists different models for delivering tele-ophthalmology services including fixed and mobile centers.
  • Implemented Projects in India: Provides information about various tele-ophthalmology projects implemented across India and their benefits.
  • Standards and Regulations: Discusses the medical imaging standards and regulations affecting tele-ophthalmology services.
  • Current Technological Limitations: Highlights the technological limitations currently facing tele-ophthalmology, such as equipment and connectivity issues.
  • Conclusion: Closing acknowledgements and final remarks on the tele-ophthalmology presentation.

TELE-OPHTHALMOLOGY

By- Abhishek Yadav


Optometrist
Dr. R.P. Centre for Ophthalmic sciences
AIIMS
TELE-OPHTHALMOLOGY
 It is a branch of telemedicine that delivers eye care
through digital medical equipment and
telecommunications technology.
 Gives access to eye specialists for Patients in remote
areas, ophthalmic disease screening, diagnosis and
monitoring as well as distant learning.
 65% population is in rural area

 70% health care resources in urban area

 1 ophthalmologist per 100000 population


STEPS
Patient
comes

Diagnosis & Take


treatment history

Upload refraction
data

imaging
 Health professionals to take ocular images and attend to
patients who have limited access to ocular health care.

Requirements
•Camera (take ocular images)
•Computer terminal with network capabilities ( to transfer the
images)
Challenges
•Data security
•Liability issues
•Cost of equipment
•Differences in health information exchange standards
•IT support
•Regular connectivity
•Resolution & quality of image
MAIN FOCUS
 Diabetic retinopathy
 Retinopathy of prematurity

 Macular degeneration

 Strabismus

 Adnexal eye disease

 Arterial and vein occlusions

 Chorioretinitis

 Congenital anomalies
TELE-OPHTHALMOLOGY SERVICES IN
TWO WAYS
 Synchronous teleophthalmology- enables real time
interaction between participants
 Asynchronous teleophthalmology- in a store and forward
method, where data is captured and transmitted for
review at a later time

 External eye- standard digital stills or video camera


 Anterior segment- slit lamp connected to a camera

 Posterior segment- fundus camera


MODELS
 Service delivery
1) Fixed centre with internet connectivity

2) Mobile with equipments


 Referral centre for consultations

 Connectivity

 Satellite

 Internet

 Software to tie it all together

 Standards

 Department of IT

 Ministry of health
IMPLEMENTED PROJECTS IN INDIA
 The program provided in Chennai by Sankara Nethralaya has reached more
than 4,50,000 patients since its inception in October, 2003.
 The Karnataka Internet Assisted Diagnosis of Retinopathy of Prematurity
(KIDROP) program started in 2008, uses teleophthalmology to screen for
retinopathy of prematurity
 They are India’s first and the world’s largest program of this kind
 They performed more than 6339 imaging sessions of 1601 infants in rural
and remote areas.
 Tripura vision centre project in 2007 aim to meet the gap b/w the rural &
urban areas towards reducing the logistics cost.
Benefits- prescription to the patients
- affordable
- early diagnosis
- timely management
- health education
STANDARDS AND REGULATIONS
 It relies on a standard for the representation, storage and
transmission of medical image known as Digital Imaging
and Communications in Medicine (DICOM). The
medical imaging standards is managed by the Medical
Imaging & Technology Alliance (MITA), which is a
division of the Virginia based National Electrical
Manufacturers Association (NEMA).
 USA- Health Insurance Portability and Accountability
Act
 Europe- Data Protection Directive

 Japan- HPB 517


CURRENT TECHNOLOGICAL
LIMITATIONS
 Low sensitivity and specificity
 Lack of stereopsis

 Proper equipments to capture image

 Storage devices

 Internet services
Thank you

TELE-OPHTHALMOLOGY By- Abhishek Yadav Optometrist Dr. R.P. Centre for Ophthalmic sciences AIIMS
TELE-OPHTHALMOLOGY It is a branch of telemedicine that delivers eye care through digital medical equipment and telecommuni
STEPS Patient comes Take history refraction imaging Upload data Diagnosis & treatment
Health professionals to take ocular images and attend to patients who have limited access to ocular health care. Requiremen
MAIN FOCUS Diabetic retinopathy Retinopathy of prematurity Macular degeneration Strabismus Adnexal eye disease Arterial
TELE-OPHTHALMOLOGY SERVICES IN TWO WAYS Synchronous teleophthalmology- enables real time interaction between participants
MODELS Service delivery 1) Fixed centre with internet connectivity 2) Mobile with equipments Referral centre for consultati
IMPLEMENTED PROJECTS IN INDIA The program provided in Chennai by Sankara Nethralaya has reached more than 4,50,000 patients
STANDARDS AND REGULATIONS It relies on a standard for the representation, storage and transmission of medical image known a
CURRENT TECHNOLOGICAL LIMITATIONS Low sensitivity and specificity Lack of stereopsis Proper equipments to capture image 

You might also like