Department of Ophthalmology, University of Alberta, 2317, 10240 Kingsway Avenue NW, Edmonton, AB T5H 3V9, Canada.
J Telemed Telecare. 2012 Oct;18(7):367-73. doi: 10.1258/jtt.2012.120313. Epub 2012 Sep 12.
The aim of the teleglaucoma service at the University of Alberta is to improve access for people in northern Alberta who have early-stage glaucoma or who are at risk for glaucoma. Two types of teleglaucoma service are offered: remote and in-house. A standardized approach is used to capture patient information (structured histories, examinations and fundus photographs) which is then sent to a tertiary care centre for grading and recommendations. Only one grader reads and makes management recommendations for each case. Reports are sent electronically. A total of 195 cases have been graded through the remote service since 2008. A total of 62 cases have been graded through the in-house service since 2011. The average reporting time for consultations in the in-house service was 7 days, and it was also 7 days for the remote service. We believe that the use of teleglaucoma can improve the way that patients are diagnosed and managed, both in industrialized and developing countries. Teleglaucoma is currently being used as a screening tool at the Aga Khan University Hospital in Nairobi with mobile units equipped with a fundus camera and a visual field machine.
艾伯塔大学的远程青光眼服务旨在为艾伯塔省北部的早期青光眼或有青光眼风险的人群提供更好的服务。提供了两种远程青光眼服务：远程服务和内部服务。使用标准化方法来获取患者信息（结构化病史、检查和眼底照片），然后将其发送到三级护理中心进行分级和建议。每个病例只有一名分级员进行阅读并提出治疗建议。报告以电子方式发送。自 2008 年以来，通过远程服务共对 195 例病例进行了分级。自 2011 年以来，通过内部服务共对 62 例病例进行了分级。内部服务咨询的平均报告时间为 7 天，远程服务也是 7 天。我们相信，使用远程青光眼可以改善工业化国家和发展中国家的患者诊断和治疗方式。远程青光眼目前正在内罗毕的阿加汗大学医院用作筛查工具，配备有眼底相机和视野机的移动设备正在使用中。
