Surfing the COVID-19 Tsunami with Teleophthalmology: the Advent of New Models of Eye Care

Abstract

Purpose of review: In this article, we reviewed the impact resulting from the COVID-19 pandemic on the traditional model of care in ophthalmology.

Recent findings: Though virtual eye care has been present for more than 20 years, the COVID-19 pandemic has established a precedent to seriously consider its role in the evolving paradigm of vision and eye care. New hybrid models of care have enhanced or replaced traditional synchronous and asynchronous visits. The increased use of smart phoneography and mobile applications enhanced the remote examination of patients. Use of e-learning became a mainstream tool to continue accessing education and training.

Summary: Teleophthalmology has demonstrated its value for screening, examining, diagnosing, monitoring treatment, and increasing access to education. However, much of the progress made following the COVID-19 pandemic is at risk of being lost as society pushes to reestablish normalcy. Further studies during the new norm are required to prove a more permanent role for virtual eye care.

Keywords: COVID-19; Ophthalmology; Pandemic; Telemedicine; Teleophthalmology; Vision and eye care.

Fig. 1

Instituto Zaldivar’s hybrid visit model during 1st wave of the COVID-19 pandemic. A Technician (right) performs ultra-wide fundus photography on patient (left). B Eyecare provider evaluates images from home setting asynchronously. C and D Patient and provider review images and discuss management during a synchronous wrap-up. Photographs courtesy of Dr. Lucio L. Arias, Service chief retina and vitreous diseases, Instituto Zaldivar, Mendoza, Argentina

Fig. 2

RVEC workflow initiates with patient’s pre-visit registration, followed by an encounter with the RVEC coordinators and providers (same day or within 24–36 h), and finalizes with a post-visit, where patient access schedules necessary follow-up