Remote diagnostics of the organ of vision during COVID-19 pandemic
Heading: Тhematic supplement Article type: Original article
Authors: Bakutkin V.V., Bakutkin I.V., Zelenov V.A.
Organization: International Academy of Consulting, Auditing and Education LLC
Objective: to analyze the effectiveness of remote diagnostics of the visual organ under circumstances of the COVID-19 pandemic. Material and Methods. A hardware and software complex for digital biomicroscopy of the anterior segment of the eye has been developed. It is a compact, stand-alone device that provides the ability to obtain digital images of the front segment of the eye under standardized lighting conditions, primary processing of the received data and their sending through wireless communication channels. For this, a Wi-Fi router and a 3G router are used. The program part is implemented in the form of a multifunctional site, which has the following sections: ophthalmic care, analysis of the received data and making medical decisions. After fixing the orbital part of the face of the subject with elastic obturators, the lighting system is turned on and the illumination mode is selected: it is possible to use balanced white light, or the use of a red, blue, green light source. An infrared study is possible. Dimming of the room is not required during the study. In a remote use case, the Internet is connected, digital data transmission and voice communication are provided. Results. Remote use of the complex in pandemic conditions allowed a primary assessment of visual organs state of 120 patients with various ophthalmic diseases. A voice channel was used to communicate with the patient. Conclusion. The developed technique, and hardware and software complex provide an opportunity to reduce the risk of spreading infection while maintaining a high level of visual organ diagnostics.
Bibliography:
1. Morozov VV, Seryapina YuV, Bessmeltsev VP, Sluev VA. Telemedicine Problems in Russian Health Care. Fundamental Research 2014; (10-7): 1365-8.
2. Stanberry В. Legal and ethical aspects of telemedicine. Journal of Telemedicine and Telecare 2006, 12 (4): 166-75.
3. Nalivaeva AV. Information technologies in medicine: proven facts and unsolved problems. Bulletin of medical internet conferences 2012; 2 (11): 894-7.
4. Tuulonen A, Ohinmaa Т, Alanko HI, et al. The application of teleophthalmology in examining patients with glaucoma: a pilot study. J Glaucoma 1999; 8 (6): 367-73.
5. ManCho Ng, Nathoo N, Rudnisky CJ, Tennant MT. Improving access to eye care: teleophthalmology in alberta. J Diabetes Sci Technol 2009; 3 (2): 289-96. URL: https://doi.Org/1 0.1177/193229680900300209.
6. Bakutkin IV, Zelenov VA, Chichev Ol. Hardware and software complex for the study of pupillary reactions and its application in occupational health. Occupational Medicine and Industrial Ecology 2017; (9): 17-8.
7. Legarreta JE, Conner IP, Loewen NA, et al. The utility of iphonebased imaging for teleophthalmology in a triage capacity for emergency room consultations. Investig Ophthalmol Visual Sci 2014; 55 (13): 4876.
8. Wootton R, Menzies J, Ferguson P. Follow-up data for patients managed by store and forward telemedicine in
developing countries. Journal of Telemedicine and Telecare 2009, 15 (2): 83-8.
9. Khasanov I. Medical information systems and mobile telemonitoring of patients. In: Materials of the conference "Information technologies in health care". Kazan, 2011. URL: http://www.kirkazan.rU/@files/upload/Khassanov_2011. pdf (date of access: 19.02.2013).
10. Shadrichev FE, Shklyarov ЕВ, Grigorieva NN. Screening of diabetic retinopathy: from ophthalmoscopy to digital photography. Ophthalmology Journal 2009; 2 (4): 19-30.
11. Jones S, Edwards RT Diabetic retinopathy screening: a systematic review of the economic evidence. Diabet Med 2010 Mar; 27 (3): 249-56.
Attachment | Size |
---|---|
2021_02-1_278-282.pdf | 873.98 KB |