Ophthalmology in China

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Analysis of disease types in videoconferencing-based teleconsultation of Beijing Tongren Eye Center 

LIU Li-juan1, LI Jian-jun1, WU Qu2, LU Cong-lei3, WANG Shuang1, DUAN Xin-rong1, DENG Shi-jing1, ZENG Hui-yang1, ZHANG Li1, SHI Xiang-yu1, AI Li-kun1, WANG Li-bo3, XU Liang1.    

  1. 1. Beijing Key Lab. of Ophthalmology and Visual Science; Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China; 2. Beijing Tele Field Telemedical Corporation, Beijing 100080, China; 3. Beijing Daheng Prust Medical Corporation, Beijing 100085, China
  • Received:2016-01-05 Online:2016-01-25 Published:2016-01-28
  • Contact: LI Jian-jun，Email：jianjunli2005@163.com

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Abstract:

Objective To explore the disease constitution ratio of remote video consultation in teleophthalmology of Beijing Tongren Eye Center. Design Retrospective case series. Participants From January 1, 2014 to October 30, 2015, 354 cases of video consultation for teleophthalmology from 35 primary hospitals were reviewed in Beijing Tongren Eye Center, whose average age was 45.5±19.5 years-old. Methods The tele-medical software system based on cloud platform developed by Beijing Institute of Ophthalmology and Beijing Daheng Prust Company was used for remote reading and evaluation of ocular fundus images, and then Cisco WebEx Meeting video conferencing system was used for the appointment and video consultation. The remote video consultation records were exported from Daheng Prust remote reading database software, with the software of Excel and SPSS for statistical classification of diseases. Main Outcome Measures The disease constitution ratio of patients of remote video consultation. Result  In all 354 case, anterior ischemic optic neuropathy and other optic disc edema of single eye was 32 cases (9.04%), secondary glaucomas was 21 cases (5.93%), retinal vein occlusion was 20 cases (5.64%), proliferative diabetic retinopathy was 15 cases (4.24%), primary open angle glaucoma and its complications of after filtering surgery was 14 cases (3.95%), panuveitis was 12 cases (3.39%), decreased visual acuity of unknown origin 12 cases (3.39%), vitreous hemorrhage was 10 cases (2.82%), age-related macular degeneration was 9 cases (2.54%), central serous chorioretinopathy 8 cases (2.26%), epiretinal membranes of the macula was 8 cases (2.26%), pathological myopia and its complications was 7 cases (1.98%). Conclusion In current video tele-consultation, monocular optic disc edema, secondary glaucoma, retinal vein occlusion and proliferative diabetic retinopathy are most demand for diagnosis and treatment of teleophthalmopathy in Chinese primary hospitals. (Ophthalmol CHN, 2016, 25: 9-12)

Key words: teleophthalmology, videoconferencing-based teleconsultation