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  1. Telemedicine diagnosis of eye disorders by direct ophthalmoscopy : A pilot study.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0489181

    Code Inist : 002B28C. Création : 19/02/1999.