Telemed J E Health - The Sankara Nethralaya mobile teleophthalmology model for comprehensive eye care delivery in rural India.

Tópicos

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Resumo

CKGROUND: Teleophthalmology holds great potential to overcome barriers and improve quality, access, and affordability in eye care. We introduced mobile units for comprehensive eye care delivery and have successfully conducted eye camps over the past 1.5 years.METHODS: Here we describe the current process and review results of conducting comprehensive eye camps with the aid of teleophthalmology mobile units and determine major causes of avoidable blindness in central and south India. Retrospective chart reviews of all the camps were done as a part of the rural teleophthalmology project of Sankara Nethralaya during the period of April 2009-September 2010. Speciality consultation was achieved by means of teleophthalmology during which images were converted to Digital Imaging and Communications in Medicine standard and transferred to the base hospital by a satellite link using a very small aperture terminal at 256-384 kilobits per second with store-and-forward technology as well as real-time videoconferencing when possible. In addition to comprehensive examination, schoolteachers were trained to assess visual acuity, and various public awareness activities were undertaken.RESULTS: Over the 1.5-year study period, 54,751 patients underwent evaluation at 872 camps across four states in India. Among these, uncorrected refractive error was the commonest cause of avoidable blindness (59%), followed by cataract (30%). Retinal diseases, mainly diabetic retinopathy, contributed 3.3% of avoidable blindness, and corneal diseases accounted for another 1%.CONCLUSIONS: Comprehensive eye camps utilizing a mobile teleophthalmology unit appears to be a very useful tool to improve eye care delivery in the developing world.

Resumo Limpo

ckground teleophthalmolog hold great potenti overcom barrier improv qualiti access afford eye care introduc mobil unit comprehens eye care deliveri success conduct eye camp past yearsmethod describ current process review result conduct comprehens eye camp aid teleophthalmolog mobil unit determin major caus avoid blind central south india retrospect chart review camp done part rural teleophthalmolog project sankara nethralaya period april septemb special consult achiev mean teleophthalmolog imag convert digit imag communic medicin standard transfer base hospit satellit link use small apertur termin kilobit per second storeandforward technolog well realtim videoconferenc possibl addit comprehens examin schoolteach train assess visual acuiti various public awar activ undertakenresult year studi period patient underw evalu camp across four state india among uncorrect refract error commonest caus avoid blind follow cataract retin diseas main diabet retinopathi contribut avoid blind corneal diseas account anoth conclus comprehens eye camp util mobil teleophthalmolog unit appear use tool improv eye care deliveri develop world

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