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Routine Orthoptic-led Paediatric Fundus Digital Imaging: Benefits to Patients and Healthcare System
Laura B Ramm1, Clare Bradbury1, Manoj V Parulekar1
1Eye Department, Birmingham Children's Hospital NHS Trust, GB.
The British and Irish Orthoptic Journal
|October 1, 2020
Summary
Orthoptic-led digital fundus imaging is a safe and effective method for paediatric eye exams, improving efficiency and reducing costs. This innovative approach streamlines care, enabling timely diagnosis and treatment for children.
Area of Science:
- Ophthalmology
- Medical Imaging
- Healthcare Management
Background:
- Dilated fundus examinations are crucial but time-consuming in pediatric ophthalmology.
- Limited resources and time can lead to delays in diagnosis and treatment.
- Orthoptic-led fundus digital imaging offers a potential solution to these challenges.
Purpose of the Study:
- To evaluate the safety and efficacy of orthoptic-led fundus digital imaging in children.
- To assess the potential time and cost benefits for the healthcare system.
- To demonstrate an innovative approach to pediatric fundus examinations.
Main Methods:
- Retrospective review of 616 digital fundus images from children (age 2.1-16.5 years).
- Utilized a Nikon D80 TopCon TRC-NW6S non-mydriatic fundus camera.
- Data collected over a six-month period in 2012.
Main Results:
- Achieved an overall success rate of 97% for paediatric fundus digital imaging.
- Obtained successful images in 87% of patients without pupil dilation.
- 45% of patients were discharged immediately, with some receiving photographs for community optometrist follow-up.
Conclusions:
- Orthoptic-led fundus digital imaging is a safe, speedy, and efficient method for documenting fundal appearance.
- This technique allows for serial documentation of ocular disease progression.
- It frees up clinic time, offers potential cost benefits, and supports allied health professional skill development.
