Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New Perspective

Telemedicine in ophthalmology has been around for decades and has been successful with its use in diabetic retinal screening in countries like the UK (with the introduction of the UK National Diabetic Eye Screening Programme in 2003). However, most telemedicine, in the field of diabetic retinopathy,...

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Main Authors: Arshi Baig, Azhar Zafar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Medical Evidence
Subjects:
Online Access:https://journals.lww.com/10.4103/JME.JME_173_23
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author Arshi Baig
Azhar Zafar
author_facet Arshi Baig
Azhar Zafar
author_sort Arshi Baig
collection DOAJ
description Telemedicine in ophthalmology has been around for decades and has been successful with its use in diabetic retinal screening in countries like the UK (with the introduction of the UK National Diabetic Eye Screening Programme in 2003). However, most telemedicine, in the field of diabetic retinopathy, has largely been reliant on human graders for triage purposes. With the advent of COVID-19, patients with chronic conditions, such as diabetes, were disproportionately affected. The pandemic also caused significant rise in patients on waiting lists. Before the pandemic, there have been studies illustrating the use of artificial intelligence (AI) to analyse images obtained from patients screened for monitoring of their diabetic retinopathy. The image analysis by AI and deep-learning algorithms offers insight into the future of screening in diabetes. The transition, from the use of human graders in teleophthalmology to the use of AI-based image analysis has the potential to screen a wider cohort of patients, thereby tackling waiting lists awaiting screening which has lengthened since after COVID-19. It is therefore vital to understand the role of AI in screening diabetic retinopathy patients, from a patient-acceptability, cost-effectiveness and reliability perspective as, this offers potential answers to streamline the screening process further.
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institution Kabale University
issn 2667-0720
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publishDate 2024-12-01
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spelling doaj-art-96fafcadf2834e868d809915a6468db12025-01-07T07:17:43ZengWolters Kluwer Medknow PublicationsJournal of Medical Evidence2667-07202667-07392024-12-015432032310.4103/JME.JME_173_23Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New PerspectiveArshi BaigAzhar ZafarTelemedicine in ophthalmology has been around for decades and has been successful with its use in diabetic retinal screening in countries like the UK (with the introduction of the UK National Diabetic Eye Screening Programme in 2003). However, most telemedicine, in the field of diabetic retinopathy, has largely been reliant on human graders for triage purposes. With the advent of COVID-19, patients with chronic conditions, such as diabetes, were disproportionately affected. The pandemic also caused significant rise in patients on waiting lists. Before the pandemic, there have been studies illustrating the use of artificial intelligence (AI) to analyse images obtained from patients screened for monitoring of their diabetic retinopathy. The image analysis by AI and deep-learning algorithms offers insight into the future of screening in diabetes. The transition, from the use of human graders in teleophthalmology to the use of AI-based image analysis has the potential to screen a wider cohort of patients, thereby tackling waiting lists awaiting screening which has lengthened since after COVID-19. It is therefore vital to understand the role of AI in screening diabetic retinopathy patients, from a patient-acceptability, cost-effectiveness and reliability perspective as, this offers potential answers to streamline the screening process further.https://journals.lww.com/10.4103/JME.JME_173_23covid-19diabetic retinal screeningtelemedicineteleophthalmology
spellingShingle Arshi Baig
Azhar Zafar
Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New Perspective
Journal of Medical Evidence
covid-19
diabetic retinal screening
telemedicine
teleophthalmology
title Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New Perspective
title_full Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New Perspective
title_fullStr Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New Perspective
title_full_unstemmed Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New Perspective
title_short Telemedicine in Diabetic Retinal Screening: Pre- and Post-COVID-19 Challenges a New Perspective
title_sort telemedicine in diabetic retinal screening pre and post covid 19 challenges a new perspective
topic covid-19
diabetic retinal screening
telemedicine
teleophthalmology
url https://journals.lww.com/10.4103/JME.JME_173_23
work_keys_str_mv AT arshibaig telemedicineindiabeticretinalscreeningpreandpostcovid19challengesanewperspective
AT azharzafar telemedicineindiabeticretinalscreeningpreandpostcovid19challengesanewperspective