To the Editor.
—In 1983, the distribution of ophthalmologic manpower in the United States was addressed and found to be adequate.1 It was concluded that only 1% of the population in the United States did not have "convenient access to an ophthalmologist." However, it was further noted that certain areas of this country have unmet needs. For example, Kentucky ranks 48th in services with a ratio of 3.13 ophthalmologists per 100 000 population.1 Not covered in the report, but of extreme concern, are Third-World countries that have many and varied problems that will require unique and creative solutions.With the ultimate goal of improving ophthalmologic care in underserved areas, we have evaluated an alternative to direct contact between ophthalmologist and patient. This approach uses electronic image acquisition and transfer, using a nonophthalmologist, to complete the link between ophthalmologist and patient over large distances.An image acquisition system (Figure)
Garden JW, Knapp CF, Sanders JH. Biomicroscopic Electronic Imaging and Data Transfer. Arch Ophthalmol. 1990;108(5):637-638. doi:10.1001/archopht.1990.01070070023009