Journal article
Novel Use of Telemedicine for Corneal Tissue Evaluation in Eye Banking: Establishing a Standardized Approach for the Remote Evaluation of Donor Corneas for Transplantation
Cornea, Vol.38(4), pp.509-514
04/2019
DOI: 10.1097/ICO.0000000000001848
PMCID: PMC6403003
PMID: 30614904
Abstract
To determine the feasibility of using telemedicine consultations in the evaluation of recovered donor corneas for transplant suitability.
This study aims to establish and test the minimum imaging requirements for telemedical consultations of corneal tissue by remote eye bank medical directors. Digital images from the slit lamp, optical coherence tomography, and/or specular microscope were assembled into telemedical consults and emailed to 4 eye bank medical directors (M.A.T., J.W., C.S.S., N.K.R.). Feedback on the minimum image requirements for each corneal finding was collected. After establishing a standardized imaging and presentation protocol, test cases were presented to the medical directors to examine the validity of these remote consults. To establish a benchmark for the study's parameters, one medical director (J.W.) examined each case in person after his initial remote review. Examiners were masked to each other's responses.
Minimum image requirements for determination of corneal findings were defined and were specific to each anatomic layer of the cornea (epithelial, stromal, or endothelial). Using a defined set of digital images for a set of common corneal findings, the rate of agreement between remote evaluators, eye bank staff, and the in-person evaluator was 100% (11 of 11 examples). For ambiguous test cases, remote evaluators agreed on 80% of the cases (4 of 5).
Results from this pilot study suggest that telemedical review of corneal tissue using high-quality digital images may be adequate for accurate identification of specific corneal findings commonly encountered by eye banks.
Details
- Title: Subtitle
- Novel Use of Telemedicine for Corneal Tissue Evaluation in Eye Banking: Establishing a Standardized Approach for the Remote Evaluation of Donor Corneas for Transplantation
- Creators
- Rolake O Alabi - Department of Ophthalmology, Weill Cornell Medical College, New York, NYAmy Ansin - Vision Research Laboratory, Lions VisionGift, Portland, ORJameson Clover - Vision Research Laboratory, Lions VisionGift, Portland, ORJohn Wilkins - The Eye Clinic, P.C., Portland, ORNaveen K Rao - Lahey Medical Center, Peabody, MAMark A Terry - Devers Eye Institute, Portland, ORKhoa D Tran - Vision Research Laboratory, Lions VisionGift, Portland, ORChristopher S Sales - Vision Research Laboratory, Lions VisionGift, Portland, OR
- Resource Type
- Journal article
- Publication Details
- Cornea, Vol.38(4), pp.509-514
- DOI
- 10.1097/ICO.0000000000001848
- PMID
- 30614904
- PMCID
- PMC6403003
- NLM abbreviation
- Cornea
- ISSN
- 0277-3740
- eISSN
- 1536-4798
- Grant note
- T32 GM007739 / NIGMS NIH HHS
- Language
- English
- Date published
- 04/2019
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984111197302771
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