LRMC Remote Teleretinology and Teleopthalmology Project

摘要

The Topcon digital ocular fundus and fluoroscein angiogram digital imaging system, which was purchased with the allotted P8 funding, has been of great use in the LRMC ophthalmology and neuro-ophthalmology clinic for patients referred from throughout ERMC. The metrics for this machine's use are shown below: 1. Since 28 July 00, when the camera was finally installed in our clinic, we have taken high resolution digital ophthalmologic photographs of 64 pairs of eyes. At the present time we are performing an average of 2 digital ophthalmic photographs per day and 3 digital fluoroscein angiogram studies per week. We no longer utilize conventional opthalmologic photography in our clinic. 2. Patients with a variety of diagnoses have benefited from the availability of this technology in our clinic to include: optic neuritis, open angle glaucoma, corneal neovascularization, pseudotumor cerebri, ocular fundus and iris nevi, pterygium, blonde fundus, coloboma, thyroid ophthalmopathy, abnormal appearing optic nerves (large optic cups), and others. 3. The immediate availability of the digital photographs for our reference and documentation in the patients' digital medical records is invaluable from a clinical standpoint. Before the acquisition of this camera, we would need to wait 1-3 months for the conventional ophthalmic photographs and at least several days for the fluoroscein angiogram photographs to be processed. Now we can more accurately perform serial ophthalmologic examinations for patients who have pathologic processes in flux. 4. A significant amount of money was saved for the development of the photographs by utilizing this digital camera. It will be determined exactly how much money was saved for the final year-end report.