Use of Teleophthalmology for Evaluation of Ophthalmic Emergencies by Ophthalmology Residents in the Emergency Department

AI Generated Summary*

At a tertiary academic emergency department, ten first-year ophthalmology residents used an OCT and fundus photography unit during one year, covering 109 encounters among 1,715 adult eye consults. Papilledema prompted the most use (21 encounters, 18.6%), followed by new visual acuity or field loss (12) and retinal tear or detachment and trauma workups (8 each). Mean image quality was 1.79 out of 3, rising to 2.24 for each patient's best image. Consult-to-discharge time did not differ significantly from unimaged patients. Of eight survey respondents, seven felt the device improved diagnostic accuracy, while reliability scored 5 of 10 and software, artifact, and record-linking problems were reported.

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