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Invited Commentary
November 2016

Improving Ocular Telehealth Outcomes

Author Affiliations
  • 1Wilmer Eye Institute, Retina Division, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Ophthalmol. 2016;134(11):1228-1229. doi:10.1001/jamaophthalmol.2016.3087

It has now been well established that a nonmydriatic camera located well outside the ophthalmologist or optometrist office can be used to capture images of the retinal fundus for remote interpretation. In the setting of diabetic retinopathy, this “store-and-forward” paradigm has been validated against clinical examination and as well as the research gold standard 7-field Early Treatment Diabetic Retinopathy Study images1; it has been demonstrated that remotely acquired images can allow clinicians to reach the same diagnosis and management plan as these more traditional methods. While there have been questions about the possible role for ultrawidefield imaging1 and optical coherence tomography in ocular telehealth paradigms,2 monoscopic photographic imaging has become the foundation of large diabetic retinopathy screening programs.3

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