Telemedicine for Glaucoma Patients in COVID-19 Era | ||
| NILES journal for Geriatric and Gerontology | ||
| Public Titles, Volume 3, COVID-19, July 2020, Pages 7-9 PDF (830.68 K) | ||
| DOI: 10.21608/niles.2020.31769.1023 | ||
| Author | ||
| Hany Mahmoud* | ||
| sohag faculty of medicine ophthalmology department sohag university | ||
| Abstract | ||
| In that Era with crowded hospitals and the need for social distance, telemedicine emerges as a solution for many problems. In ophthalmology Telemedicine has been started many years ago with limits. Now we have to widen the scope and applications of telemedicine (1-3) Glaucoma patients needs a special follow-up regimen with intraocular pressure (IOP) measurement, fundus examination, and visual acuity (V/A) assessment. Regular visits to the hospital are required; however, in the telemedicine protocol, we can decrease their visits to the hospitals. (4-6) Excluding emergencies, patients with glaucoma can follow the following protocol: History taking: by phone or video call with health provider (3) Visual acuity assessment: Patients can use Amsler's grid chart or smart applications for visual acuity and color vision. (7) Iop: I CARE tonometer can be a valuable tool; however, it is expensive. Visual field: There are Apps and devices to monitor the central 10, degrees including the commercially available preferential hyperacuity perimeter ForSee® device (Notal Vision) and discrimination apps such as mVT® (Vital Art and Science) application(8,9). Smart phone retinal imaging is available, but not yet designed for patients to use at home. (10-13) Video call: with the health care provider to discuss the condition and guide the patient to either the hospital or drug prescription. Future prospective: We aim at provide an optical coherence tomography (OCT) smart phone like apparatus. Intraocular devices for continuous IOP measurement are required. | ||
| Keywords | ||
| telemedicine; COVID-19; Glaucoma | ||
| References | ||
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1.Saif ATS, Saif PS , El Deeb A. Role of amniotic membrane transplantation in symblepharon. Guoji Yanke Zazhi(Int Eye Sci) 2017;17(5):819-824 2.Nassar M, Saif M, Saif A, Saif P. Sensitivity and specificity of nassar color test in early detection of diabetic macular edema. Journal of Retina-Vitreous. 2016;24:109-113. 3.Amer, S. , Saif, M. , Saif, A. and Saif, P. (2014) Variations of Cup-to-Disc Ratio in Children. Open Journal of Ophthalmology, 4, 12-17. doi: 10.4236/ojoph.2014.41003. | ||
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