The Toronto Tele-Retinal Screening Program for the Elderly in Long-Term Care: A Pilot Project.

Clinical ophthalmology (Auckland, N.Z.) Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI:10.2147/OPTH.S491154

Michelle Lim, Tina Felfeli, Winnie Mangubat, Hamid Moghimi, Michael Grinton, Michael H Brent

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Abstract

Objective: To report the results and feasibility of a pilot expansion of the Toronto Tele-Retinal Screening Program in an elderly long-term care home.

Methods: Long term care patients with Type II diabetes mellitus (DM) were screened between April 1, 2022, and July 1, 2022. Demographic and health data were collected through surveys.

Results: A total of 28 patients were screened, with 85.7% successfully undergoing retinal imaging. Among imaged patients, 8.3% (2/24) required urgent follow-up. Pathologies identified included uncontrolled glaucoma (4.1%, 1/24), non-proliferative diabetic retinopathy (8.3%, 2/24), and age-related macular degeneration (45.8%, 11/24). The handheld camera successfully screened 60% (3/5) of patients with mobility issues. Overall, 90% (17/19) of patients rated their experience as either "brilliant" or "really good".

Discussion: This pilot project demonstrated the necessity for routine eye care in the elderly and the potential for widespread implementation of teleophthalmology in long-term care facilities. With only 14.3% (4/28) of patients unable to be imaged, this program offers a feasible, patient-friendly alternative to in-clinic screening. Future policies and practices in teleophthalmology should consider the unique needs of long-term care residents and the potential for reducing healthcare disparities through such a program.

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多伦多长期护理老年人远程视网膜筛查项目：一个试点项目。

目的：报告多伦多远程视网膜筛查项目在老年人长期护理院试点扩展的结果和可行性。方法：筛选2022年4月1日至2022年7月1日期间长期护理的2型糖尿病（DM）患者。人口和健康数据是通过调查收集的。结果：共筛查28例患者，成功率85.7%。在影像学检查的患者中，8.3%（2/24）需要紧急随访。确定的病理包括不受控制的青光眼（4.1%,1/24）、非增生性糖尿病视网膜病变（8.3%,2/24）和年龄相关性黄斑变性（45.8%,11/24）。手持相机成功地筛查了60%（3/5）的行动不便患者。总体而言，90%（17/19）的患者将他们的体验评为“出色”或“非常好”。讨论：该试点项目证明了老年人常规眼科护理的必要性，以及在长期护理机构中广泛实施远程眼科的潜力。只有14.3%（4/28）的患者无法成像，该项目为临床筛查提供了一种可行的、患者友好的替代方案。未来的远视政策和实践应该考虑到长期护理居民的独特需求，以及通过这样的项目减少医疗保健差距的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical ophthalmology (Auckland, N.Z.)

CiteScore

4.10

自引率

0.00%

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