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Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results.

Publication ,  Journal Article
Hark, LA; Katz, LJ; Myers, JS; Waisbourd, M; Johnson, D; Pizzi, LT; Leiby, BE; Fudemberg, SJ; Mantravadi, AV; Henderer, JD; Zhan, T; Doyle, V ...
Published in: Am J Ophthalmol
September 2017

PURPOSE: To describe methodology and screening results from the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study. DESIGN: Screening program results for a prospective randomized clinical trial. METHODS: Individuals were recruited who were African-American, Hispanic/Latino, or Asian over age 40 years; white individuals over age 65 years; and any ethnicity over age 40 years with a family history of glaucoma or diabetes. Primary care offices and Federally Qualified Health Centers were used for telemedicine (Visit 1). Two posterior fundus photographs and 1 anterior segment photograph were captured per eye in each participant, using a nonmydriatic, autofocus, hand-held fundus camera (Volk Optical, Mentor, Ohio, USA). Medical and ocular history, family history of glaucoma, visual acuity, and intraocular pressure measurements using the ICare rebound tonometer (ICare, Helsinki, Finland) were obtained. Images were read remotely by a trained retina reader and a glaucoma specialist. RESULTS: From April 1, 2015, to February 6, 2017, 906 individuals consented and attended Visit 1. Of these, 553 participants were female (61.0%) and 550 were African-American (60.7%), with a mean age of 58.7 years. A total of 532 (58.7%) participants had diabetes, and 616 (68%) had a history of hypertension. During Visit 1, 356 (39.3%) participants were graded with a normal image. Using image data from the worse eye, 333 (36.8%) were abnormal and 155 (17.1%) were unreadable. A total of 258 (28.5%) had a suspicious nerve, 62 (6.8%) had ocular hypertension, 102 (11.3%) had diabetic retinopathy, and 68 (7.5%) had other retinal abnormalities. CONCLUSION: An integrated telemedicine screening intervention in primary care offices and Federally Qualified Health Centers detected high rate of suspicious optic nerves, ocular hypertension, and retinal pathology.

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Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

September 2017

Volume

181

Start / End Page

114 / 124

Location

United States

Related Subject Headings

  • Visual Acuity
  • Tonometry, Ocular
  • Telemedicine
  • Prospective Studies
  • Physicians, Primary Care
  • Philadelphia
  • Optic Nerve Diseases
  • Ophthalmology & Optometry
  • Ocular Hypertension
  • Middle Aged
 

Citation

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Chicago
ICMJE
MLA
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Hark, L. A., Katz, L. J., Myers, J. S., Waisbourd, M., Johnson, D., Pizzi, L. T., … Haller, J. A. (2017). Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results. Am J Ophthalmol, 181, 114–124. https://doi.org/10.1016/j.ajo.2017.06.024
Hark, Lisa A., L Jay Katz, Jonathan S. Myers, Michael Waisbourd, Deiana Johnson, Laura T. Pizzi, Benjamin E. Leiby, et al. “Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results.Am J Ophthalmol 181 (September 2017): 114–24. https://doi.org/10.1016/j.ajo.2017.06.024.
Hark LA, Katz LJ, Myers JS, Waisbourd M, Johnson D, Pizzi LT, et al. Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results. Am J Ophthalmol. 2017 Sep;181:114–24.
Hark, Lisa A., et al. “Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results.Am J Ophthalmol, vol. 181, Sept. 2017, pp. 114–24. Pubmed, doi:10.1016/j.ajo.2017.06.024.
Hark LA, Katz LJ, Myers JS, Waisbourd M, Johnson D, Pizzi LT, Leiby BE, Fudemberg SJ, Mantravadi AV, Henderer JD, Zhan T, Molineaux J, Doyle V, Divers M, Burns C, Murchison AP, Reber S, Resende A, Bui TDV, Lee J, Crews JE, Saaddine JB, Lee PP, Pasquale LR, Haller JA. Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results. Am J Ophthalmol. 2017 Sep;181:114–124.
Journal cover image

Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

September 2017

Volume

181

Start / End Page

114 / 124

Location

United States

Related Subject Headings

  • Visual Acuity
  • Tonometry, Ocular
  • Telemedicine
  • Prospective Studies
  • Physicians, Primary Care
  • Philadelphia
  • Optic Nerve Diseases
  • Ophthalmology & Optometry
  • Ocular Hypertension
  • Middle Aged