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Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003-2011
Sarina Amin1, Rikin Patel1, Jonathan Beilan1
1University of Central Florida, College of Medicine, Orlando, Florida, USA.
Journal of Telemedicine and Telecare
|May 31, 2014
Summary
The Cyber-Sight teleretinal program successfully provided expert ophthalmic consultations to developing nations, aiding diagnosis and building capacity. This vital service improved diagnostic accuracy for retinal conditions among partner physicians.
Area of Science:
- Ophthalmology
- Medical Informatics
- Global Health
Background:
- ORBIS International's Cyber-Sight platform has offered web-based ophthalmic consultations since 2003.
- The service connects physicians in developing nations with expert mentors for case review.
Purpose of the Study:
- To review retinal case consultations submitted to Cyber-Sight from June 2003 to December 2011.
- To assess the diagnostic role and impact of the teleretinal program on partner physicians' capacity.
Main Methods:
- Retrospective review of 943 retinal consultations.
- Analysis of case demographics, submission rates, response times, and diagnoses.
- Comparison of partner physicians' working diagnoses with mentor diagnoses.
Main Results:
- 826 retinal cases were included, with the majority from India, Vietnam, Indonesia, China, and Jordan.
- Diabetic retinopathy, retinal vascular occlusion, and retinal detachment were the most common diagnoses.
- 19% of initial partner diagnoses differed from mentor diagnoses, highlighting the program's diagnostic utility.
Conclusions:
- The Cyber-Sight program effectively delivers advanced retinal expertise to underserved regions.
- The teleretinal platform serves a crucial diagnostic role, enhancing the capabilities of physicians in developing countries.
- Cyber-Sight is a viable method for increasing ophthalmic care capacity globally.
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