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2020 ; 9
(3
): 549-562
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Incorporating Video Visits into Ophthalmology Practice: A Retrospective Analysis
and Patient Survey to Assess Initial Experiences and Patient Acceptability at an
Academic Eye Center
#MMPMID32535837
Kalra G
; Williams AM
; Commiskey PW
; Bowers EMR
; Schempf T
; Sahel JA
; Waxman EL
; Fu R
Ophthalmol Ther
2020[Sep]; 9
(3
): 549-562
PMID32535837
show ga
INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic has led to rapid
adoption of teleophthalmology to deliver eyecare remotely. The purpose of our
study was to assess the implementation and patient acceptability of video
consultation for outpatient ophthalmic care at our institution. METHODS: We
conducted a retrospective, cross-sectional analysis and patient survey of adult
patients who completed a virtual video visit at our institution from 18 March 18
through to 27 April 2020. All video visit encounters were assessed for patient
characteristics, diagnoses, management, and follow-up outcomes. Patients were
surveyed for their feedback on acceptability and utility of their virtual video
consultation. RESULTS: A total of 219 patients (mean age 55 years; range 21-89
years) completed 231 video visit encounters at our department over a 6-week
period, of whom 118 were women (54%). About half of these encounters were acute
visits (102 visits, 47%). The most common diagnosis of these visits was
postoperative state (20 visits, 9% of the total), followed by conjunctivitis (16
visits, 7%), and keratitis (14 visits, 6%). The most common management decisions
were medication prescription (102 visits, 46%) or reassurance (86 visits, 39%),
while 17 video visit patients (8%) were escalated to an urgent, in-person
evaluation. Ninety-two patients completed a follow-up survey (42% response rate),
of whom 45 (49%) indicated that they might have delayed seeking care during this
pandemic in the absence of a virtual video option. Seventy-two (78%) reported
that they would consider participating in a video visit as an alternative to an
office-based encounter in the future, and the overall video visit experience was
rated highly, with a weighted mean Likert scale rating of 4.3 out of 5
(Cronbach's ??=?0.88). CONCLUSION: Virtual video visits may be used to manage a
range of ophthalmic complaints. Patients participating in this survey found such
video visits acceptable and timesaving, and the majority would consider using
video consultations for future eyecare encounters.