Version 1
: Received: 13 May 2024 / Approved: 13 May 2024 / Online: 13 May 2024 (10:27:51 CEST)
How to cite:
Sabage, J.; Sabage, L. E.; Mota Lanzarin, J. V.; Resende de Sousa, L.; Ussifati Negrine, I.; Poltronieri Chiaroni, C.; Ferreira de Almeida, A. C.; Mazzo, A.; Damaso, Ê. L.; Manzoni Lourençone, L. F. Smartphone-Based Fundus Camera and Telemedicine: A Study in the Brazilian Amazon Forest. Preprints2024, 2024050834. https://doi.org/10.20944/preprints202405.0834.v1
Sabage, J.; Sabage, L. E.; Mota Lanzarin, J. V.; Resende de Sousa, L.; Ussifati Negrine, I.; Poltronieri Chiaroni, C.; Ferreira de Almeida, A. C.; Mazzo, A.; Damaso, Ê. L.; Manzoni Lourençone, L. F. Smartphone-Based Fundus Camera and Telemedicine: A Study in the Brazilian Amazon Forest. Preprints 2024, 2024050834. https://doi.org/10.20944/preprints202405.0834.v1
Sabage, J.; Sabage, L. E.; Mota Lanzarin, J. V.; Resende de Sousa, L.; Ussifati Negrine, I.; Poltronieri Chiaroni, C.; Ferreira de Almeida, A. C.; Mazzo, A.; Damaso, Ê. L.; Manzoni Lourençone, L. F. Smartphone-Based Fundus Camera and Telemedicine: A Study in the Brazilian Amazon Forest. Preprints2024, 2024050834. https://doi.org/10.20944/preprints202405.0834.v1
APA Style
Sabage, J., Sabage, L. E., Mota Lanzarin, J. V., Resende de Sousa, L., Ussifati Negrine, I., Poltronieri Chiaroni, C., Ferreira de Almeida, A. C., Mazzo, A., Damaso, Ê. L., & Manzoni Lourençone, L. F. (2024). Smartphone-Based Fundus Camera and Telemedicine: A Study in the Brazilian Amazon Forest. Preprints. https://doi.org/10.20944/preprints202405.0834.v1
Chicago/Turabian Style
Sabage, J., Ênio Luís Damaso and Luiz Fernando Manzoni Lourençone. 2024 "Smartphone-Based Fundus Camera and Telemedicine: A Study in the Brazilian Amazon Forest" Preprints. https://doi.org/10.20944/preprints202405.0834.v1
Abstract
Smartphone-based fundus camera and telemedicine are an opportunity for accessing ocular health inequalities in underresourced areas. The objective of this study is to evaluate the prevalence of retinal findings in a community in the Amazon and propose strategies to enhance ocular health. A cross-sectional study was conducted in a river side community. Retinal photos from the posterior pole and optic disc were captured using a portable fundus camera. All photos and data were analyzed remotely by a retina specialist. The final sample was 107 participants, aged 52±17. Retinal findings were detected in 37.4% (95%CI 28.7–46.8) of the sample, the three main retinal findings were epithelial changes (10.3%, 95%CI 5.6–17.1), chorioretinal scars (8.4%, 95%CI 4.2–14.8), and dry Age-related Macular Degeneration (7.5%, 95%CI 3.6–13.6). This study detected retinal alterations in similar prevalence of other underresourced areas. Telemedicine is an opportunity to address health inequities, especially in ophthalmology, through relatively low-cost portable devices, supporting clinical decisions in areas with low health access, however, maintaining assistance after implementation is a challenge. Enhancing medical education and training local non-specialized health professionals for risk assessment, device handling, and data base use is reasonable to ensure follow-up.
Keywords
ophthalmology; telemedicine; health disparity; minority and vulnerable populations; diagnosis
Subject
Medicine and Pharmacology, Ophthalmology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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