In this issue of JAMA Ophthalmology, Hadziahmetovic et al1 have reported on the feasibility and accuracy of retinal photography alone and in combination with optical coherence tomography (OCT) to screen for referable macular degeneration in a high-risk cohort of patients followed up in an endocrinology clinic and older individuals in an assisted living facility. Diagnostic testing was performed in a primary care setting through undilated pupils by nonexpert imagers. The criterion standard was a dilated pupil examination and ancillary testing performed by retinal specialists at an academic institution. Retinal photography had a high accuracy in detecting referable macular disease, especially when combined with OCT. Patients responded favorably to the experience. The study lends support to the application of telemedicine to eye care delivery.
Lynch MG, Maa AY. Diagnostic Time for Teleophthalmic Care. JAMA Ophthalmol. 2019;137(7):808–809. doi:10.1001/jamaophthalmol.2019.1202
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