Social distancing, constant vigilance in personal hygiene
and avoiding close contact have certainly created unprecedented challenges for patient care.
Perspectives from around the world might lend a broader understanding of how ophthalmologists are facing the challenges of providing quality eye care and managing patients’ needs.
Virtual triage finds its footing The “power of virtual triage” seems to be the way to go at Moorfields Eye Hospital in the United Kingdom.
Dr. Dawn Sim, consultant ophthalmologist, director of telemedicine and associate professor at the UCL Institute of Ophthalmology, shared how the hospital is using “forward triage” to improve access to care.
This method hinges on good risk stratification based on a clear minimum dataset New Approaches to Patient.
For ophthalmology, they included elements of clinical history, objective measurements (like visual acuity, intraocular pressure), ลาวสามัคคี วีไอพี
and imaging (photographs, OCT, visual field) to determine the criteria.
One of their most successful endeavours during the pandemic was their asynchronous
and synchronous telemedicine efforts which saw video consultations for emergency teleophthalmology care and telepharmacy, New Approaches to Patient
like providing drops through mail with scheduled follow-ups.
Telemedicine and home monitoring Photography of patients’ eyes with clipped-on lenses on their phones enabled second opinions for senior opinions to be monitored remotely.
A slit lamp adapter, smartphone and secure cloud-based video conferencing software has enabled second opinion services as well.
Dr. Sim also cited the example of the drive-through IOP clinics in Belfast, Ireland.
Telemedicine has also seen success in the area of periocular lesion assessment, in oculoplastic and adnexal surgery.
She also spoke about remote monitoring and self-care via apps like the Alleye (Oculocare, Zurich, Switzerland) home vision test.
In Guangzhou, the “internet hospital” has created an important role for ophthalmic patients in China,
covering areas like medical treatment, public health, family doctors, drug supply, medical insurance settlement, medical education and popularization, and AI applications.
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