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The Current State of Teleophthalmology in the United States.

Authors
  • Rathi, Siddarth1
  • Tsui, Edmund2
  • Mehta, Nitish2
  • Zahid, Sarwar2
  • Schuman, Joel S3
  • 1 Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
  • 2 New York University (NYU) Langone Eye Center, NYU Langone Medical Center, Department of Ophthalmology, NYU School of Medicine, New York, New York.
  • 3 New York University (NYU) Langone Eye Center, NYU Langone Medical Center, Department of Ophthalmology, NYU School of Medicine, New York, New York; Department of Neuroscience and Physiology, NYU Langone Medical Center, NYU School of Medicine, New York, New York; Department of Electrical and Computer Engineering, NYU Tandon School of Engineering, Brooklyn, New York. Electronic address: [email protected]
Type
Published Article
Journal
Ophthalmology
Publication Date
Dec 01, 2017
Volume
124
Issue
12
Pages
1729–1734
Identifiers
DOI: 10.1016/j.ophtha.2017.05.026
PMID: 28647202
Source
Medline
License
Unknown

Abstract

Telemedicine services facilitate the evaluation, diagnosis, and management of the remote patient. Telemedicine has rapidly flourished in the United States and has improved access to care, outcomes, and patient satisfaction. However, the use of telemedicine in ophthalmology is currently in its infancy and has yet to gain wide acceptance. Current models of telemedicine in ophthalmology are largely performed via "store and forward" methods, but remote monitoring and interactive modalities exist. Although studies have examined the effects of telemedicine, few reports have characterized its current status. We perform a descriptive analysis of the current state of teleophthalmology in the United States. We describe the use of teleophthalmology in the hospital and outpatient settings. We also review the applications to retinopathy of prematurity, diabetic retinopathy, age-related macular degeneration, and glaucoma, as well as anticipated barriers and hurdles for the future adoption of teleophthalmology. With ongoing advances in teleophthalmology, these models may provide earlier detection and more reliable monitoring of vision-threatening diseases.

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