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Real-time telementoring in ophthalmology
1Department of Ophthalmology, Saint Francis Medical Center and University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii, USA.
Purpose:
To determine if current telemedicine technology can support real-time telementoring to teach ophthalmologic surgical procedures in remote areas.
Method:
Using an integrated systems digital network (ISDN) line conveying information at a rate of 128 kbps, an endoscopic laser-assisted dacryocystorhinostomy (ELA-DCR) procedure was transmitted in real time from the Saint Francis Medical Center in Honolulu, Hawaii, to ophthalmologists at the Makati Medical Center in Manila, Philippines, more than 5000 miles away. Live surgical and endoscopic images were sent real time with explanations by the surgeon and with interactive questions and answers during and after the procedure.
Results:
The ELA-DCR procedure was transmitted in real time from Honolulu to more than 100 ophthalmologists at the Makati Medical Center in the Philippines.
Conclusion:
Current technology in telemedicine can support the use of real-time surgical telementoring to teach complex ophthalmologic procedures.
