To report a pilot study of telemedical direct ophthalmoscopy in the diagnosis of acquired immune deficiency syndrome (AIDS) - related retinopathy in a human immunodeficiency virus (HIV) - positive population and in the diagnosis of glaucoma, cataract, and retinopathy in a diabetic population.
Prospective comparative case series.
Seventeen HIV-positive and 20 diabetic patients.
A direct ophthalmoscope custom-fitted with a digital microcamera capable of transmitting images from any of 61 sites within the Georgia Statewide Telemedicine Program was used by a nonophthalmologist to examine 34 eyes of 17 HIV-positive patients and 39 eyes of 20 patients with diabetes.
Fundus images were transmitted in real-time to a reviewing ophthalmologist.
An in-person, comprehensive examination including indirect ophthalmoscopy, was performed by a second ophthalmologist.
Telemedical examination was compared to the in-person comprehensive examination.
For the HIV study, 21 eyes did not show HIV retinopathy (noninfectious retinopathy with cotton-wool spots) by in-person examination.
Telemedical examination correctly identified 20 of these eyes as disease-free (specificity=95%). HIV retinopathy was present in 12 of the 34 eyes by in-person evaluation with telemedical examination correctly diagnosing 10 of these eyes (sensitivity=83%). (...)
Mots-clés Pascal : SIDA, Virose, Infection, Rétinopathie, Diagnostic, Ophtalmoscopie, Télémédecine, Géorgie, Etats Unis, Amérique du Nord, Amérique, Homme, Diabète, Cataracte, Glaucome, Immunopathologie, Immunodéficit, Oeil pathologie, Endocrinopathie, Cristallin pathologie
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Retinopathy, Diagnosis, Ophthalmoscopy, Telemedicine, Georgia, United States, North America, America, Human, Diabetes mellitus, Cataract, Glaucoma (eye), Immunopathology, Immune deficiency, Eye disease, Endocrinopathy, Lens disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0489181
Code Inist : 002B28C. Création : 19/02/1999.