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Lessons Learned from a Vitreoretinal Virtual Service in a Tertiary Referral Center
Bence Tasnadi1, Anthony Gigon2, Huda Al-Hayouti2
1Queen Elizabeth University Hospital, Glasgow, United Kingdom.
Summary
Telemedicine vitreoretinal virtual clinics, using Optical Coherence Tomography (OCT) scans, significantly reduced face-to-face appointments by 62%. Patients reported high satisfaction with accessibility and care quality.
Area of Science:
- Ophthalmology
- Telemedicine
- Health Services Research
Background:
- Pilot study of vitreoretinal virtual clinics in a tertiary referral hospital in Scotland (Nov 2021 - June 2022).
- Direct referrals from community optometrists and general ophthalmologists.
- Utilized Optical Coherence Tomography (OCT) scans and colored fundus photography for patient assessment.
Purpose of the Study:
- Analyze the efficacy of a telemedicine service for vitreoretinal care.
- Evaluate the potential to improve future healthcare delivery.
- Assess patient satisfaction with virtual consultations.
Main Methods:
- Retrospective audit of 284 patients booked into virtual clinics (258 attended).
- Review of referral and clinic letters.
- Patient questionnaires assessing experience and satisfaction with virtual care.
Main Results:
- 62% reduction in required face-to-face hospital appointments.
- 86% of attendees satisfied with appointment accessibility.
- 63% confident in the quality of care provided via telemedicine.
Conclusions:
- Telemedicine, incorporating OCT imaging and telephone consultations, is effective for vitreoretinal patient assessment.
- This virtual approach significantly reduces the need for in-person appointments.
- The service offers a cost-effective solution for healthcare systems and patients.
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