TeleOphthalmology

1
(No Transcript)
2
TeleOphthalmology

• Lac La Biche Program

3
TeleOphthalmology

• Goals
• Clinical Validation
• Edson Program
• Lac La Biche Program

4
TeleOphthalmology Goals

• To emulate a comprehensive eye examination at a
  distance
• Medical history
• Visual acuity
• Intraocular pressure
• Stereoscopic retinal photography

5
Diabetes Mellitus

• Leading cause of preventable blindness in working
  age Canadians
• Aspen Health Region
• 7,590 people with type 2 diabetes
• 6.7 prevalence
• Lac La Biche
• Population
• 2,685 people city proper (2001 stats Canada)
• 15,000 people surrounding region
• 1005 people with type 2 diabetes

6
Screening versus Assessment

• Screening
• Identifies presence or absence of eye disease
• Assessment
• Enables diagnosis of treatable eye disease
• Allows other eye diseases to be identified

7
Diabetic Retinopathy

• Treatable disease
• Proliferative diabetic retinopathy
• 25 risk of going blind within 1 year
• Clinically significant macular edema
• 24 risk of moderate vision loss without treatment

8
Other Eye Diseases

• Cataract
• Glaucoma
• Macular degeneration
• Eye Strokes

9
Clinical Validation

• Comparison of teleophthalmology system to gold
  standard

10
Edson TeleOphthalmology

• Started in September 2005
• Weekly clinic
• 2 nurse photographers
• 355 clients evaluated
• 91 (25.6) client referrals
• 54 for cataract assessment
• 26 for diabetic retinopathy treatment

11
Edson Diabetic Retinopathy
12
Lac La Biche TeleOphthalmology

• Linking Ophthalmology Services to the people of
  Lac La Biche
• Improving Eye Care for people with diabetes
• Reducing travel costs through telemedicine
  technology

13
TeleOphthalmology

• Lac La Biche Program

14
(No Transcript)