The first experience of using «teleglaucoma» in Republic of Uzbekistan

Abstract

The purpose of the study: to study the effectiveness of screening for glaucoma in the population using telemedicine methods. Material and methods. The study was crosssectional and included a comparative analysis of the effectiveness of face-to-face and remote examinations by an ophthalmologist for suspected glaucoma. According to the results of the examination, 40 patients (52 eyes) were diagnosed with suspected glaucoma. The diagnosis was made after a previous face-to-face examination by an ophthalmologist using standard methods for examining patients with POAG. Results. Based on the analysis of the data received from the operator during a remote consultation via telemedicine, it was possible to determine the diagnosis of suspected glaucoma in the eyes of 40 eyes, which accounted for 76,9% of the total number of cases detected during face-to-face examination. The calculation of indicators shows that the sensitivity of “teleglaucoma» screening was 81.25%, the specificity was 95.2%, the positive predictive value was 94.5, and the negative predictive value was 81.1. Conclusion. The results of the study prove the high potential for the full implementation of the “teleglaucoma» system in clinical practice, which was clearly demonstrated by the use of this method in the process of disease screening. Keywords: glaucoma, telemedicine, teleglaucoma, screening