June 2021
Volume 62, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2021
Characteristics of Tele-ophthalmology visits at a Large Academic Medical Center during the COVID-19 Pandemic
Author Affiliations & Notes
  • Amal Al-Lozi
    Ophthalmology, Duke Eye Center, Duke University Department of Ophthalmology, Durham, NC, US, academic/meddep, Durham, North Carolina, United States
  • Hesham Gabr
    Ophthalmology, Duke Eye Center, Duke University Department of Ophthalmology, Durham, NC, US, academic/meddep, Durham, North Carolina, United States
    Ain Shams University, Cairo, Egypt
  • Kevin Jackson
    Ophthalmology, Duke Eye Center, Duke University Department of Ophthalmology, Durham, NC, US, academic/meddep, Durham, North Carolina, United States
  • Xinxin Zhang
    Ophthalmology, Duke Eye Center, Duke University Department of Ophthalmology, Durham, NC, US, academic/meddep, Durham, North Carolina, United States
  • Gross Andrew
    Ophthalmology, Duke Eye Center, Duke University Department of Ophthalmology, Durham, NC, US, academic/meddep, Durham, North Carolina, United States
  • Dilraj Singh Grewal
    Ophthalmology, Duke Eye Center, Duke University Department of Ophthalmology, Durham, NC, US, academic/meddep, Durham, North Carolina, United States
  • Divakar Gupta
    Ophthalmology, Duke Eye Center, Duke University Department of Ophthalmology, Durham, NC, US, academic/meddep, Durham, North Carolina, United States
  • Footnotes
    Commercial Relationships   Amal Al-Lozi, None; Hesham Gabr, None; Kevin Jackson, None; Xinxin Zhang, None; Gross Andrew, None; Dilraj Grewal, None; Divakar Gupta, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2021, Vol.62, 1755. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Amal Al-Lozi, Hesham Gabr, Kevin Jackson, Xinxin Zhang, Gross Andrew, Dilraj Singh Grewal, Divakar Gupta; Characteristics of Tele-ophthalmology visits at a Large Academic Medical Center during the COVID-19 Pandemic. Invest. Ophthalmol. Vis. Sci. 2021;62(8):1755.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose : To describe the experience of tele-ophthalmology at a large academic medical center during the COVID-19 pandemic.

Methods : This is a retrospective review of tele-ophthalmology encounters conducted at the Duke Eye Center between March 13th and July 15th, 2020. Collected data includes patient demographics, mode of communication (video or telephone), visit type (new, routine return, or urgent), diagnoses, prescribed medications, management plan, and follow-up care.

Results : Five hundred and ninety-two routine return visits, 75 urgent visits, and 75 new patient visits were conducted over 742 tele-ophthalmology encounters spanning nine ophthalmology sub-specialty services: pediatric ophthalmology (224), oculoplastics (118), glaucoma (115), vitreoretina (69), cornea (67), inherited retinal disease (45), comprehensive ophthalmology (37), neuro-ophthalmology (34), and ocular oncology (24). The average patient age was 44.2 years (range, 1 month - 100 years). Figure 1 shows the most common diagnoses addressed. Video was the preferred mode of communication over telephone (439 versus 276 encounters). The show rate was 97.4%. The average time spent with patients was 18.0 minutes. The longest average visits occurred during inherited retinal disease (38.2 minutes) and neuro-ophthalmology (23.2 minutes) encounters. An active management decision was made in 36 of the new patient encounters (47.3%), 51 urgent encounters (70.8%), and 116 routine return encounters (20.2%). Figure 2 shows the top prescribed medication classes by subspecialty. In-person follow-up within 4 weeks was required for 28.0% urgent visits, 12.0% new patients, and 4.2% routine return visits.

Conclusions : Tele-ophthalmology was utilized during the COVID-19 pandemic across a wide range of patient ages and ophthalmology sub-specialties. A substantial percentage of virtual encounters led to an active management decision, and the majority of encounters did not require a sooner than scheduled in-person follow-up. More research and follow-up are needed to determine if the accuracy of tele-ophthalmology diagnosis and management matches that of in-person encounters.

This is a 2021 ARVO Annual Meeting abstract.

 

Top diagnoses managed over tele-ophthalmology by subspecialty.

Top diagnoses managed over tele-ophthalmology by subspecialty.

 

Top prescribed medications over tele-ophthalmology by subspecialty.

Top prescribed medications over tele-ophthalmology by subspecialty.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×