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Teleophthalmology: the use of real-time telementoring to remove an orbital tumor
J G Camara1, R R Zabala, R D Henson
1Department of Ophthalmology, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.
Objective:
To determine whether current telemedicine technology can support real-time surgical telementoring to remove an orbital tumor.
Design:
Interventional case report
Methods:
An orbital specialist guided a general ophthalmologist in the removal of a lateral orbital tumor from a site 210 miles away on another island. A 3-mm endoscope connected to a three-chip digital video camera attached to a Concorde 4500 Picture-Tel videoconferencing system was used to transmit images at a rate of 384 kb per second over integrated service digital network lines.
Main Outcome Measures:
Successful performance and outcome of the telementored procedure comparable to hands-on orbital surgery.
Results:
The surgical procedure was successfully telementored with uncomplicated removal of the orbital tumor.
Conclusions:
Current telemedicine technology can support real-time telementoring to remove an orbital tumor.
