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[Telemedicine in ophthalmology: an appropriateness document developed through an e-consensus using the RAND/UCLA
Roberto Perilli1, Claudio Azzolini2, Filippo Cruciani3
1Uos Oculistica territoriale, Asl Pescara.
Recenti Progressi in Medicina
|February 20, 2026
Summary
Telemedicine in ophthalmology shows promise for patient history collection and follow-up care. However, clinicians express uncertainty regarding its use for diagnosis and disease identification in Italy.
Area of Science:
- Digital Health
- Ophthalmology
- Telemedicine
Background:
- Telemedicine, a core element of Digital Health (e-Health), leverages information and communication technologies to enhance healthcare access and patient monitoring.
- It is particularly relevant for managing chronic diseases and ensuring continuity of care.
Purpose of the Study:
- To investigate ophthalmologists' perspectives on telemedicine appropriateness in Italy.
- To evaluate potential clinical practice recommendations (CPRs) for telemedicine in ophthalmology using an e-consensus method.
Main Methods:
- An e-consensus study was conducted using the RAND/UCLA method between June and October 2024.
- Two rounds of questions were administered to a panel of 28 clinicians (40% response rate) and one telemedicine engineer.
Main Results:
- Clinicians in Italy find telemedicine most appropriate for non-clinical tasks like medical history collection, reporting, goal setting, and follow-up.
- Significant uncertainty exists regarding the use of telemedicine for diagnostic procedures and disease identification in ophthalmology.
Conclusions:
- Telemedicine's role in ophthalmology in Italy is currently viewed as more suitable for administrative and follow-up phases than for direct diagnosis.
- Further research and consensus-building are needed to clarify telemedicine's diagnostic capabilities and applications in ophthalmology.
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