Abstract
Abstract: :
Purpose: to evaluate the optic disc in patients with suspected glaucoma by a new adaptive algorithm using telematic methods. Methods: in study we examined 28 patients with suspected glaucoma due to unclear optic disc classification. The telematic diagnosis was performed by a adaptive algorithm in online investigation with the slit lamp by means of the telemedicine system EVITA for online investigations in ophthalmology with following parameters: connection speed 500kB/s,.video signal/noise 48dB, effective picture element number on CCD: 440,000, compression: 3–50kB/frame, image size: 768x576 pixels.. The telematic diagnosis was compared to the clinical diagnosis based on visual field analysis, HRT, GdX, cornea thickness corrected IOP values and optic disc image. Results: the optic disc evaluation in patients with suspected glaucoma is by a live online investigation by means of adaptive algotithm in telematic methods possible. The restrictions are eyes with cataract and cornea opacities. The evaluation of optic disc was in ca. 63,2% patients good possible Conclusions: the evaluation of optic disc in patients with suspected glaucoma is by means of new telematic method possible. Although the optic disc diagnosis represents the essential element of glaucoma screening, is this telematic method not applicative for early detection of glaucoma without additional clinical investigations.
Keywords: imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • imaging/image analysis: non–clinical • image processing