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Invited Commentary |

Improving Ocular Telehealth Outcomes ONLINE FIRST

Christopher J. Brady, MD1
[+] Author Affiliations
1Wilmer Eye Institute, Retina Division, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Ophthalmol. Published online September 15, 2016. doi:10.1001/jamaophthalmol.2016.3087
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It has now been well established that a nonmydriatic camera located well outside the ophthalmologist or optometrist office can be used to capture images of the retinal fundus for remote interpretation. In the setting of diabetic retinopathy, this “store-and-forward” paradigm has been validated against clinical examination and as well as the research gold standard 7-field Early Treatment Diabetic Retinopathy Study images1; it has been demonstrated that remotely acquired images can allow clinicians to reach the same diagnosis and management plan as these more traditional methods. While there have been questions about the possible role for ultrawidefield imaging1 and optical coherence tomography in ocular telehealth paradigms,2 monoscopic photographic imaging has become the foundation of large diabetic retinopathy screening programs.3

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