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. 2020 Apr;26(4):495-543.
doi: 10.1089/tmj.2020.0006. Epub 2020 Mar 25.

Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition

Affiliations

Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition

Mark B Horton et al. Telemed J E Health. 2020 Apr.

Abstract

Contributors The following document and appendices represent the third edition of the Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy. These guidelines were developed by the Diabetic Retinopathy Telehealth Practice Guidelines Working Group. This working group consisted of a large number of subject matter experts in clinical applications for telehealth in ophthalmology. The editorial committee consisted of Mark B. Horton, OD, MD, who served as working group chair and Christopher J. Brady, MD, MHS, and Jerry Cavallerano, OD, PhD, who served as cochairs. The writing committees were separated into seven different categories. They are as follows: 1.Clinical/operational: Jerry Cavallerano, OD, PhD (Chair), Gail Barker, PhD, MBA, Christopher J. Brady, MD, MHS, Yao Liu, MD, MS, Siddarth Rathi, MD, MBA, Veeral Sheth, MD, MBA, Paolo Silva, MD, and Ingrid Zimmer-Galler, MD. 2.Equipment: Veeral Sheth, MD (Chair), Mark B. Horton, OD, MD, Siddarth Rathi, MD, MBA, Paolo Silva, MD, and Kristen Stebbins, MSPH. 3.Quality assurance: Mark B. Horton, OD, MD (Chair), Seema Garg, MD, PhD, Yao Liu, MD, MS, and Ingrid Zimmer-Galler, MD. 4.Glaucoma: Yao Liu, MD, MS (Chair) and Siddarth Rathi, MD, MBA. 5.Retinopathy of prematurity: Christopher J. Brady, MD, MHS (Chair) and Ingrid Zimmer-Galler, MD. 6.Age-related macular degeneration: Christopher J. Brady, MD, MHS (Chair) and Ingrid Zimmer-Galler, MD. 7.Autonomous and computer assisted detection, classification and diagnosis of diabetic retinopathy: Michael Abramoff, MD, PhD (Chair), Michael F. Chiang, MD, and Paolo Silva, MD.

Keywords: artificial intelligence; diabetic retinopathy; telehealth; telemedicine; teleophthalmology.

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Conflict of interest statement

M.D.A. is founder, CEO, director of IDx (Coralville, IA), and an investor. M.D.A. has patent and patent applications assigned to the University of Iowa, to the Department of Veterans Affairs, and to IDx. T.L. is consultant for Spect, Inc. (San Francisco, CA). K.R. is chief medical officer of IBM, Inc. (Yorktown, NY). M.F.C. is an unpaid member of the Scientific Advisory Board for Clarity Medical Systems (Pleasanton, CA) and a consultant for Novartis (Basel, Switzerland). M.B.H. has no competing financial interests.

K.G. is the Ophthalmology Director of Care 1 Inc.; L.R.P. is a consultant to Verily, Eyenovia, Bausch + Lomb, Nicox and Emerald Bioscience.

J.P.C. receives grant support from Genentech, and is listed on a preliminary patent application related to deep learning technology for ROP screening.

No competing financial interests exist.

Figures

Fig. 1.
Fig. 1.
IHE-Eye Care, unified eye care workflow (Reprinted with the permission of the IHE Eye Care Domain). EMR, electronic medical record; IHE, Integrating the Healthcare Enterprise; PMS, patient management system.
Fig. 2.
Fig. 2.
Example of web-based image management, reading center, and report delivery (Public domain. Courtesy EyePacs, San Jose, CA). EHR, electronic health record; HL7, Health Level 7; PACS, Picture Archiving and Communication System.
Fig. 3.
Fig. 3.
QA and CQI flow diagram. CQI, continuous quality improvement; QA, quality assurance.

References

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