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How to assess blepharoptosis via telemedicine: method and its reliability
Ofira Zloto1, Victor Paiusco2, Fabiola Murta3
1Adnexal Service, Moorfields Eye Hospital, London, EC1V 2PD, England, UK. ozloto@gmail.com.
International Ophthalmology
|February 22, 2024
Summary
Video consultation is a reliable method for assessing adult ptosis, demonstrating 95% accuracy. This approach streamlines patient care, ensuring efficient diagnosis and treatment planning for ptosis surgery.
Area of Science:
- Ophthalmology
- Surgical assessment
- Telemedicine
Background:
- Ptosis surgery requires accurate pre-operative assessment.
- Traditional face-to-face consultations can be time-consuming and resource-intensive.
- Telemedicine offers a potential solution for remote patient evaluation.
Purpose of the Study:
- To evaluate the reliability and method of assessing adult ptosis using video consultation.
- To determine the accuracy of ptosis diagnosis made via video consultation compared to in-person assessments.
Main Methods:
- Retrospective case series of patients listed for ptosis surgery.
- Inclusion of patients assessed solely via video consultation prior to surgery.
- Collection of demographic data, clinical findings (levator function, Cogan's twitch sign, etc.), and surgical outcomes.
Main Results:
- 45 patients (25.6%) had pre-operative assessment via video consultation.
- Ptosis diagnosis via video consultation was 95% reliable.
- Accuracy of ptosis diagnosis was 86.7% by fellows and 100% by consultants.
- Surgery cancellation rate was 20%, with minor misdiagnoses in 4.44% of cases.
Conclusions:
- Video consultation is an efficient and reliable method for assessing adult ptosis.
- Telemedicine can effectively aid in the pre-surgical evaluation of ptosis patients.
- While thorough assessment is advised, video consultation demonstrates high diagnostic accuracy.
