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- Title
Smartphone fundus photography by a physician in medical emergencies: An analytical cross-sectional study of 182 patients.
- Authors
PRADEEP, R.; AMALNATH, S. DEEPAK; KASTURI, NIRUPAMA
- Abstract
Background. Fundus examination is an integral part of the clinical evaluation of patients with medical emergencies. It is done at the bedside using a portable direct ophthalmoscope. Smartphone fundus photography (SFP) is a novel technique of retinal imaging. We evaluated the use of SFP by a physician in medical emergencies and compared it with direct ophthalmoscopy (DO) findings of the ophthalmologist. Methods. We did a prospective study on patients admitted with medical emergencies with an indication for fundus examination. The SFP was done by the physician, and its findings were noted. These were compared with the DO findings of the ophthalmologist. Results. Of the 182 patients studied, 111 (61%) had fundus findings by SFP and 95 (52.5%) by DO. Papilloedema (21.4%), haemorrhages (20%) and Roth spots (12.5%) were most common. DO missed early papilloedema and findings in the peripheral retina. Conclusions. SFP is as effective as DO, in detecting retinal findings in patients with medical emergencies and can be performed at the bedside by the physician.
- Subjects
MEDICAL photography; MEDICAL emergencies; CROSS-sectional method; SMARTPHONES; EMERGENCY physicians; RETINAL imaging
- Publication
National Medical Journal of India, 2023, Vol 36, Issue 5, p291
- ISSN
0970-258X
- Publication type
Article
- DOI
10.25259/NMJI_208_21