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Results From the First Teleglaucoma Pilot Project in Addis Ababa, Ethiopia
Abeba T Giorgis1, Abiye M Alemu1, Sourabh Arora2
1Department of Ophthalmology, Addis Ababa University.
Journal of Glaucoma
|May 15, 2019
Summary
A teleglaucoma program in Ethiopia identified a high prevalence of glaucoma (7.9%) and glaucoma suspects (13.8%) among high-risk patients. This telemedicine approach effectively triaged patients for further eye care management.
Area of Science:
- Ophthalmology
- Telemedicine
- Public Health
Background:
- Ethiopia faces a high burden of glaucoma, necessitating innovative case-finding strategies.
- Hospital-based teleglaucoma programs can analyze disease prevalence and referral pathways for high-risk individuals.
Purpose of the Study:
- To analyze disease prevalence and clinical referral pathways within a hospital-based teleglaucoma case-finding program in Ethiopia.
- To evaluate the effectiveness of a teleglaucoma model in identifying high-risk patients for glaucoma and other eye conditions.
Main Methods:
- A teleglaucoma consultation model was implemented, with remote diagnosis and management by a glaucoma specialist.
- Patients aged over 35 from diabetic and hypertensive clinics were referred; ophthalmic nurses and optometrists were empowered for high-risk referrals.
- Qualitative feedback was gathered from stakeholders regarding the program's utility.
Main Results:
- Out of 1002 patients, 7.9% had definite glaucoma and 13.8% were glaucoma suspects.
- Other eye conditions included retinopathy (9.1%), age-related macular degeneration (1.5%), and cataract (16%).
- Referral pathways included general ophthalmologists (35%), optometrists (17.7%), and specialists (0.7%-1.5%).
Conclusions:
- The teleglaucoma program demonstrated a high prevalence of glaucoma in the Ethiopian cohort.
- The model successfully applied telemedicine principles for intelligent triage, disease case-finding, and optimizing patient referral pathways.
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