The Impact of the COVID-19 Pandemic on Tele-ophthalmology-Based Retinal Screening.

COVID-19 Healthcare organization Retinal screening Tele-ophthalmology

Journal

Ophthalmology and therapy
ISSN: 2193-8245
Titre abrégé: Ophthalmol Ther
Pays: England
ID NLM: 101634502

Informations de publication

Date de publication:
02 Aug 2024
Historique:
received: 07 06 2024
accepted: 19 07 2024
medline: 2 8 2024
pubmed: 2 8 2024
entrez: 2 8 2024
Statut: aheadofprint

Résumé

This study reports our experiences with systematic retinal screening in Denmark through optometrists with access to tele-ophthalmological services before, during, and after the COVID-19 pandemic. We evaluated an optometrist-based retinal screening system with a referral option for tele-ophthalmological service by a consultant ophthalmologist within the time period of August 1, 2018 to September 30, 2023. The optometrist collected patient history, refraction, best-corrected visual acuity, intraocular pressure, basic slit-lamp examination, 4-in-1 visual field report, and retinal imaging using color fundus 45° photography. Tele-ophthalmological services were provided by consultant ophthalmologists. Within pre-defined periods of pre-COVID-19, COVID-19, and post-COVID-19, we evaluated the rate of referrals to the tele-ophthalmological service, diagnoses made, and referrals to the public healthcare system. A total of 1,142,028 unique individuals, which corresponded to 19.1% of the entire population of Denmark, underwent screening by the optometrists; 50,612 (4.4%) of these individuals were referred to the tele-ophthalmological examination by consultant ophthalmologists. A referral for further ophthalmic examination, either at hospital or at an ophthalmic practice, was made for 10,300 individuals (20.4% of those referred for tele-ophthalmology, corresponding to 0.9% of the population screened). The referral rate from the screening to the tele-ophthalmological service increased from before COVID-19 (3.4%) to during COVID-19 (4.3%) and further after COVID-19 (6.4%). This increase coincided with an increasing prevalence of conditions seen in the tele-ophthalmological service. During a period of 5 years, 19.1% of the entire population of Denmark underwent retinal screening. This provided an adjunctive health service during a period of severe strain on the public healthcare system, while limiting the number of excessive referrals to the public healthcare system. Temporal trends illustrated an increased pattern of use of a large-scale tele-ophthalmological system.

Identifiants

pubmed: 39093386
doi: 10.1007/s40123-024-01008-8
pii: 10.1007/s40123-024-01008-8
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

© 2024. The Author(s).

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Auteurs

Marie L R Rasmussen (MLR)

Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Lasse J Cehofski (LJ)

Department of Ophthalmology, Aalborg University Hospital, Aalborg, Denmark.
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

Julie Davies (J)

Global Business School for Health, University College London, London, UK.

Carsten Faber (C)

Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Mads K Falk (MK)

Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Department of Ophthalmology, Zealand University Hospital, Roskilde, Denmark.

Jakob Grauslund (J)

Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Department of Ophthalmology, Odense University Hospital, Odense, Denmark.
Department of Ophthalmology, Vestfold Hospital Trust, Tønsberg, Norway.

Michael S Hansen (MS)

Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Pearse A Keane (PA)

NIHR Biomedical Research Centre at Moorfields, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.

Sundaram Natarajan (S)

Aditya Jyot Eye Hospital Pvt. Ltd., Mumbai, Maharashtra, India.

Tunde Peto (T)

Centre for Public Health, Queen's University Belfast, Belfast, UK.

Yousif Subhi (Y)

Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Department of Ophthalmology, Zealand University Hospital, Roskilde, Denmark.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Charles C Wykoff (CC)

Retina Consultants of Texas, Houston, TX, USA.
Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA.

Danson V Muttuvelu (DV)

Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. dansonvm@gmail.com.
MitØje V/ Danske Speciallæger, Ferdinand Salling Stræde 2, 1, 8000, Aarhus C, Denmark. dansonvm@gmail.com.

Classifications MeSH