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Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition.

Mark B Horton¹, Christopher J Brady², Jerry Cavallerano^3,4

¹Indian Health Service-Joslin Vision Network (IHS-JVN) Teleophthalmology Program, Phoenix Indian Medical Center, Phoenix, Arizona.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association

|March 27, 2020

Summary

This document provides updated practice guidelines for ocular telehealth, focusing on diabetic retinopathy screening and management. It emphasizes expert consensus on clinical applications, quality assurance, and technology for improved patient care.

Keywords:

artificial intelligence diabetic retinopathy telehealth telemedicine teleophthalmology

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Area of Science:

Ophthalmology
Medical Informatics
Public Health

Background:

Diabetic retinopathy is a leading cause of vision loss, necessitating accessible screening methods.
Ocular telehealth offers a scalable solution for remote diabetic retinopathy detection and management.
Previous guidelines require updates to incorporate advancements in telehealth technology and clinical practices.

Purpose of the Study:

To present the third edition of the Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy.
To consolidate expert recommendations for the effective implementation of telehealth in ophthalmology for diabetic retinopathy care.
To provide a comprehensive resource for clinicians and stakeholders involved in ocular telehealth services.

Main Methods:

Development by a multidisciplinary Diabetic Retinopathy Telehealth Practice Guidelines Working Group.
Inclusion of subject matter experts in clinical telehealth applications within ophthalmology.
Categorization of expertise into seven distinct writing committees covering clinical, operational, equipment, quality assurance, and specific disease areas.

Main Results:

The guidelines cover clinical/operational aspects, equipment, quality assurance, and specific conditions like glaucoma, retinopathy of prematurity, and age-related macular degeneration.
Special attention is given to autonomous and computer-assisted detection, classification, and diagnosis of diabetic retinopathy.
The document represents a consensus of expert opinion on best practices in ocular telehealth for diabetic retinopathy.

Conclusions:

The updated guidelines aim to enhance the quality and accessibility of diabetic retinopathy care through telehealth.
These guidelines serve as a crucial resource for optimizing telehealth services in ophthalmology.
The integration of expert knowledge ensures comprehensive and evidence-based recommendations for ocular telehealth practices.