Diagnosis and management of strabismus using telemedicine

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Eugene M HelvestonLynda M Smallwood

Abstract

This study was undertaken to measure the effect of telemedicine consultation for diagnosis and treatment planning in cases of strabismus. Telemedicine consultation records of all patients on ORBIS Telemedicine Cyber-Sight that resulted in a final diagnosis of superior oblique palsy (SOP), Duane syndrome (DS), and Brown syndrome (BS) were collected. The following were then determined: (1) the clinical characteristics of patients in each category, (2) the diagnosis submitted by the doctor requesting consultation compared to the diagnosis determined by the mentor, and (3) the treatment plan submitted with the consultation request compared to the mentor's suggested plan. The clinical characteristics of patients with SOP, DS, and BS were similar to those reported in the literature. There were 89 with SOP, 131 with DS, and 50 with BS. Partners and mentors agreed on the diagnosis of SOP in 81% of cases, DS in 79% of cases, and BS in 72% of cases. Mentors agreed with the partners' proposed treatment plan in SOP 35%, DS 55%, and BS 52%. Mentors are likely to change the diagnosis proposed by doctors seeking consultation for strabismus in 25% of cases and provide a new treatment plan in more than 50% of cases. The clinical characteristics...Continue Reading

References

Nov 1, 1993·Survey of Ophthalmology·P A DeRespinisS Guo
Oct 20, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·E M HelvestonL Hernandez
Mar 17, 2006·Journal of Telemedicine and Telecare·Craig KennedyIan Murdoch

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Citations

May 31, 2014·Journal of Telemedicine and Telecare·Sarina AminSaad Shaikh
Jan 17, 2017·Journal of Pediatric Ophthalmology and Strabismus·Ron MaorAnnegret H Dahlmann-Noor
Nov 23, 2017·Journal of Telemedicine and Telecare·Liam J CafferyAnthony C Smith
Jul 23, 2011·International Journal of Dental Hygiene·A H PakpourB Fridlund
Mar 11, 2021·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Sandra E StaffieriJames E Elder
Apr 27, 2021·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Tiffany C HoSudha Nallasamy

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