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Article: Prospective Comparative Study Investigating Agreement between Tele-Ophthalmology and Face-to-face Consultations in Patients Presenting with Chronic Visual Loss

TitleProspective Comparative Study Investigating Agreement between Tele-Ophthalmology and Face-to-face Consultations in Patients Presenting with Chronic Visual Loss
Authors
Issue Date2022
Citation
Ophthalmology and Therapy, 2022 How to Cite?
AbstractIntroduction This study aims to investigate the diagnostic accuracy of store-and-forward tele-ophthalmology consultations for non-diabetic patients, aged 40 and above, presenting with vision impairment of 3 months or more, in terms of cataracts, glaucoma, and age-related macular degeneration. Methods This is a prospective comparative study. Enrolled subjects were independently assessed by both tele-ophthalmology and face-to-face assessment. Agreement level between the two modalities for diagnosis and severity were compared using kappa statistic. Diagnostic accuracy of tele-ophthalmology was determined using the face-to-face consultation serving as the gold standard. Costs were compared by calculating the downstream costs generated by each modality in terms of investigations and treatment. Results A total of 860 eyes of 430 patients were assessed during the study period. Tele-ophthalmology consultations had significantly high agreement with face-to-face consultations in the diagnosis and grading of all three ocular conditions; cataracts, glaucoma, and AMD. Diagnosis and grading of cataracts and AMD reached
Persistent Identifierhttp://hdl.handle.net/10722/312284

 

DC FieldValueLanguage
dc.contributor.authorWong, KWJ-
dc.contributor.authorZhu, M-
dc.contributor.authorLam, CHJ-
dc.contributor.authorLeung, MK-
dc.contributor.authorLian, JX-
dc.contributor.authorLam, CLK-
dc.contributor.authorShih, KC-
dc.contributor.authorLai, JSM-
dc.date.accessioned2022-04-25T01:37:39Z-
dc.date.available2022-04-25T01:37:39Z-
dc.date.issued2022-
dc.identifier.citationOphthalmology and Therapy, 2022-
dc.identifier.urihttp://hdl.handle.net/10722/312284-
dc.description.abstractIntroduction This study aims to investigate the diagnostic accuracy of store-and-forward tele-ophthalmology consultations for non-diabetic patients, aged 40 and above, presenting with vision impairment of 3 months or more, in terms of cataracts, glaucoma, and age-related macular degeneration. Methods This is a prospective comparative study. Enrolled subjects were independently assessed by both tele-ophthalmology and face-to-face assessment. Agreement level between the two modalities for diagnosis and severity were compared using kappa statistic. Diagnostic accuracy of tele-ophthalmology was determined using the face-to-face consultation serving as the gold standard. Costs were compared by calculating the downstream costs generated by each modality in terms of investigations and treatment. Results A total of 860 eyes of 430 patients were assessed during the study period. Tele-ophthalmology consultations had significantly high agreement with face-to-face consultations in the diagnosis and grading of all three ocular conditions; cataracts, glaucoma, and AMD. Diagnosis and grading of cataracts and AMD reached -
dc.languageeng-
dc.relation.ispartofOphthalmology and Therapy-
dc.titleProspective Comparative Study Investigating Agreement between Tele-Ophthalmology and Face-to-face Consultations in Patients Presenting with Chronic Visual Loss-
dc.typeArticle-
dc.identifier.emailWong, KWJ: jwongkw@hku.hk-
dc.identifier.emailZhu, M: zhumm@hku.hk-
dc.identifier.emailLeung, MK: optkeith@hku.hk-
dc.identifier.emailLam, CLK: clklam@hku.hk-
dc.identifier.emailShih, KC: kcshih@hku.hk-
dc.identifier.authorityWong, KWJ=rp02294-
dc.identifier.authorityLam, CLK=rp00350-
dc.identifier.authorityShih, KC=rp01374-
dc.identifier.authorityLai, JSM=rp00295-
dc.identifier.doi10.1007/s40123-022-00506-x-
dc.identifier.hkuros332783-

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