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Santiago Soberón, Rosario Gulias-Cañizo, Rodrigo Garcia-Santiesteban, Mariana Mayorquin, Hugo Quiroz-Mercado; USE OF A REMOTE VIDEO SYSTEM TO ACCURATELY EVALUATE OCULAR ULTRASOUND. Invest. Ophthalmol. Vis. Sci. 2018;59(9):4619.
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© ARVO (1962-2015); The Authors (2016-present)
Accurate interconsultation in ophthalmology requires high quality images and videos to be shared and visualized by specialists at any given time and place. Under clinical conditions, we evaluated a smartphone care collaboration software (Paxos®) under practical clinical conditions to test the hypothesis that it could capture valuable clinical media related to echography, and share it in a rapid, secure manner between specialists to achieve an accurate diagnosis.
Residents, fellows and ophthalmologists were trained in the use of the Paxos mobile ophthalmic camera and smartphone application. The daily clinics were held in a usual manner, and enrolled patients underwent a full eye examination and required ocular ultrasound to achieve a diagnosis.All images, videos, and patient data (visual acuity, intraocular pressure, and any additional needed data) were captured in the Paxos app. Physicians then shared the content as needed with supervisors.Materials included:- iPhone- Paxos Scope used to capture images- Paxos app (Installed on smart-phone): This can be defined as a new mobile application used in telemedicine that allows interconsultation between different members of the institutional medical team and other remote specialists by capturing important clinical information, including images and videos that are immediately uploaded to the application's cloud-based database and shared with any chosen physician.-Detachable video equipment.Inclusion criteria for examined patients:-Patients whose diagnosis required ultrasound or UBM-Patients must previously agree to be examined using teleophthalmology equipment.-All evaluations were made on patients affiliated to APEC I.A.P.-Requirement of ocular ultrasound or UBM to make a diagnosis.
Descriptive results: A total of 15 patients were included in this study, with a variety of diagnosis from choroidal detachment, foreign intraocular bodies, vitreous hemorrhage, choroidal melanoma, retinal detachment, among others. 100% of videos were successfully evaluated by physicians in a remote way without image quality and/or connectivity issues.
Our results are consistent with our hypothesis that the Paxos teleophthalmology system is an efficient tool for capturing high quality videos for complete ocular examination when ultrasound is needed, making possible a remote diagnosis by specialists to accomplish accurate long-distance diagnosis.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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