研究目的
To evaluate the use of a medical retina virtual clinic (MRVC) for assessing new medical retina referrals where the need for urgent treatment was not clear, aiming to alleviate the burden on hospital eye services (HES).
研究成果
The MRVC is an effective method for triaging medical retina referrals, allowing patients needing treatment to be seen promptly. The use of multimodal imaging facilitates the assessment of a wide range of retinal pathologies, offering a promising solution to reduce the burden on HES.
研究不足
The study did not fully explore the cost-effectiveness of the virtual clinic model. Patient perspectives and satisfaction were not assessed, and a survey study is planned for future research. The need for a unifying software to increase efficiency of data review was identified.
1:Experimental Design and Method Selection:
Retrospective analysis of new patients seen in the MRVC between April 2016 and May 2018. Pro forma sheets were used to record patient history, visual acuity, and imaging type. Two consultants reviewed the pro formas and images to provide a diagnosis and management plan.
2:Pro forma sheets were used to record patient history, visual acuity, and imaging type. Two consultants reviewed the pro formas and images to provide a diagnosis and management plan.
Sample Selection and Data Sources:
2. Sample Selection and Data Sources: 610 new referrals were enrolled, including patients with diabetic eye disease, choroidal nevus, sickle cell retinopathy, and other non-diabetic macular pathologies.
3:List of Experimental Equipment and Materials:
Ultra-widefield (UWF) imaging (Optos P200 and California), Spectralis OCT2 for optical coherence tomography (OCT), and OCT angiography (OCTA).
4:Experimental Procedures and Operational Workflow:
Patients underwent imaging based on their referral. Consultants reviewed the images and pro formas within 5 days to determine the need for F2F appointments, virtual clinic follow-up, or discharge.
5:Data Analysis Methods:
Outcomes were categorized by pathology, and reasons for F2F appointments were analyzed.
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