{"title":"Telemedicine-based diagnosis and management of ocular chemical injury in a remote setting: A case report","authors":"Eisuke Shimizu MD, PhD, Hiroki Nishimura MSc, CO, Rohan Jeetendra Khemlani MD, Shintaro Nakayama MSc, Keitaro Suzuki MD, Katsuya Sato MD","doi":"10.1002/jgf2.70017","DOIUrl":null,"url":null,"abstract":"<p>Ocular chemical injuries require immediate diagnosis and treatment, posing challenges in remote regions. We report a case of mild chemical injury caused by an alkali chemical injury, successfully diagnosed and managed using telemedicine. A primary care physician utilized a smartphone-based anterior segment imaging system (Smart Eye Camera), allowing an ophthalmologist to remotely evaluate and classify the injury as Roper-Hall grade. Conservative treatment with irrigation and topical medications led to symptom resolution within 1 week. This case highlights the effectiveness of teleophthalmology, suggesting its significant potential for improving ocular care accessibility and timely intervention in medically underserved rural areas.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"359-362"},"PeriodicalIF":2.3000,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70017","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of General and Family Medicine","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jgf2.70017","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Ocular chemical injuries require immediate diagnosis and treatment, posing challenges in remote regions. We report a case of mild chemical injury caused by an alkali chemical injury, successfully diagnosed and managed using telemedicine. A primary care physician utilized a smartphone-based anterior segment imaging system (Smart Eye Camera), allowing an ophthalmologist to remotely evaluate and classify the injury as Roper-Hall grade. Conservative treatment with irrigation and topical medications led to symptom resolution within 1 week. This case highlights the effectiveness of teleophthalmology, suggesting its significant potential for improving ocular care accessibility and timely intervention in medically underserved rural areas.
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