The University of Southampton
University of Southampton Institutional Repository

The evolution of teleophthalmology programs in the United Kingdom: beyond diabetic retinopathy screening

The evolution of teleophthalmology programs in the United Kingdom: beyond diabetic retinopathy screening
The evolution of teleophthalmology programs in the United Kingdom: beyond diabetic retinopathy screening
Modern ophthalmic practice in the United Kingdom is faced by the challenges of an aging population, increasing prevalence of systemic pathologies with ophthalmic manifestations, and emergent treatments that are revolutionary but dependent on timely monitoring and diagnosis. This represents a huge strain not only on diagnostic services but also outpatient management and surveillance capacity. There is an urgent need for newer means of managing this surge in demand and the socioeconomic burden it places on the health care system. Concurrently, there have been exponential increases in computing power, expansions in the strength and ubiquity of communications technologies, and developments in imaging capabilities. Advances in imaging have been not only in terms of resolution, but also in terms of anatomical coverage, allowing new inferences to be made. In spite of this, image analysis techniques are still currently superseded by expert ophthalmologist interpretation. Teleophthalmology is therefore currently perfectly placed to face this urgent and immediate challenge of provision of optimal and expert care to remote and multiple patients over widespread geographical areas. This article reviews teleophthalmology programs currently deployed in the United Kingdom, focusing on diabetic eye care but also discussing glaucoma, emergency eye care, and other retinal diseases. We examined current programs and levels of evidence for their utility, and explored the relationships between screening, teleophthalmology, disease detection, and monitoring before discussing aspects of health economics pertinent to diabetic eye care. The use of teleophthalmology presents an immense opportunity to manage the steadily increasing demand for eye care, but challenges remain in the delivery of practical, viable, and clinically proven solutions.
diabetic retinopathy, diabetes, age-related macular degeneration, screening, teleophthalmology, telemedicine, telehealth
1932-2968
1-10
Sim, Dawn A.
038c56a4-5440-436d-8357-f3a4a79581ef
Mitry, Danny
7ede88ec-edc7-483d-a8dd-dfe0d5e3efec
Alexander, Philip
76725901-98b8-4f8d-ac34-62b529e2d27a
Mapani, Adam
8e6bd95f-4a12-4be7-babb-58da6323ec98
Goverdhan, Srini
9ae32d5a-5c82-48a4-962d-1ed8acc3991e
Aslam, Tariq
6f521c61-7ff6-4153-a013-e981b99e46ed
Tufail, Adnan
4370b3b4-906d-4fe5-92bd-e6207fa1d59b
Egan, Catherine A.
89140c47-f999-4f33-8a39-06783a66989c
Keane, Pearse A.
dddbb07e-a27a-43e7-a7bc-246fb004878a
Sim, Dawn A.
038c56a4-5440-436d-8357-f3a4a79581ef
Mitry, Danny
7ede88ec-edc7-483d-a8dd-dfe0d5e3efec
Alexander, Philip
76725901-98b8-4f8d-ac34-62b529e2d27a
Mapani, Adam
8e6bd95f-4a12-4be7-babb-58da6323ec98
Goverdhan, Srini
9ae32d5a-5c82-48a4-962d-1ed8acc3991e
Aslam, Tariq
6f521c61-7ff6-4153-a013-e981b99e46ed
Tufail, Adnan
4370b3b4-906d-4fe5-92bd-e6207fa1d59b
Egan, Catherine A.
89140c47-f999-4f33-8a39-06783a66989c
Keane, Pearse A.
dddbb07e-a27a-43e7-a7bc-246fb004878a

Sim, Dawn A., Mitry, Danny, Alexander, Philip, Mapani, Adam, Goverdhan, Srini, Aslam, Tariq, Tufail, Adnan, Egan, Catherine A. and Keane, Pearse A. (2016) The evolution of teleophthalmology programs in the United Kingdom: beyond diabetic retinopathy screening. Journal of Diabetes Science and Technology, 1-10. (doi:10.1177/1932296816629983). (PMID:26830492)

Record type: Article

Abstract

Modern ophthalmic practice in the United Kingdom is faced by the challenges of an aging population, increasing prevalence of systemic pathologies with ophthalmic manifestations, and emergent treatments that are revolutionary but dependent on timely monitoring and diagnosis. This represents a huge strain not only on diagnostic services but also outpatient management and surveillance capacity. There is an urgent need for newer means of managing this surge in demand and the socioeconomic burden it places on the health care system. Concurrently, there have been exponential increases in computing power, expansions in the strength and ubiquity of communications technologies, and developments in imaging capabilities. Advances in imaging have been not only in terms of resolution, but also in terms of anatomical coverage, allowing new inferences to be made. In spite of this, image analysis techniques are still currently superseded by expert ophthalmologist interpretation. Teleophthalmology is therefore currently perfectly placed to face this urgent and immediate challenge of provision of optimal and expert care to remote and multiple patients over widespread geographical areas. This article reviews teleophthalmology programs currently deployed in the United Kingdom, focusing on diabetic eye care but also discussing glaucoma, emergency eye care, and other retinal diseases. We examined current programs and levels of evidence for their utility, and explored the relationships between screening, teleophthalmology, disease detection, and monitoring before discussing aspects of health economics pertinent to diabetic eye care. The use of teleophthalmology presents an immense opportunity to manage the steadily increasing demand for eye care, but challenges remain in the delivery of practical, viable, and clinically proven solutions.

Full text not available from this repository.

More information

e-pub ahead of print date: 1 February 2016
Keywords: diabetic retinopathy, diabetes, age-related macular degeneration, screening, teleophthalmology, telemedicine, telehealth
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 388354
URI: https://eprints.soton.ac.uk/id/eprint/388354
ISSN: 1932-2968
PURE UUID: 0ec8692a-c49a-4429-9dbe-3914b91ffe72

Catalogue record

Date deposited: 24 Feb 2016 14:11
Last modified: 15 Jul 2019 20:45

Export record

Altmetrics

Contributors

Author: Dawn A. Sim
Author: Danny Mitry
Author: Philip Alexander
Author: Adam Mapani
Author: Srini Goverdhan
Author: Tariq Aslam
Author: Adnan Tufail
Author: Catherine A. Egan
Author: Pearse A. Keane

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×