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Dr Md Afzal Mahfuzullah Long term Fellow
Vitreo-Retina Department
Chairman Dr Mostafizur Rahman
Associate Professor cum Sr ConsultantHead of
Vitreo-Retina Department Ispahani Islamia Eye Institute & Hospital
Smart phone & Ophthalmology -How to fit in Ophthalmology’s tool bag
Introduction:
• Smart phones are being increasingly used among health professionals.
• Ophthalmological applications are widely available and can turn smart phones into sophisticated medical devices.
Uses:
• Smart phones can be useful instruments for the practice of :
• Evidence-based medicine• Professional education • Mobile clinical communication • Patient education, disease self-management• Remote patient monitoring or as a powerful
administrative tools.
Applications:
Several applications are available for different ophthalmological examinations that can assess
• Visual acuity• Color vision• Astigmatism• Pupil size• Amsler grid test and more.
Other Apps
Colour photograph & Video• i)Patient photograph• ii) Anterior segment• iii)Posterior segment• iv)Surgical procedure• Patient data recording
Research
i) Ophthalmic books & colour atlasii) Journal & literature searchiii) Ophthalmic conference updateiv) Email checkupv) Experience share on social media
How to install & Use of Apps
Examination
Surgical Apps
Patient purpose
An alarm notifies them that it’s time to take a specific drop; a picture of the bottle can be displayed.
Patient purpose
The app also shows how to instill drops correctly and allows charting of IOP results over time.
Anterior sgment photos
Anterior segment photograph showing Hypopyon due to endophthalmitis
Posterior synacheae
Subluxated lens (superotemporal)
Xray orbit looking up & down
Asteroid hyalosis (Slit lamp photo)
Retrolental RD
Modern updated devices
• .• .
Top left image shows EyePhotoDoc adapter, which mount an iPhone to the Haag-Streit slit lamp. Top right image shows Zarf’s iPhone adapter, which fits a variety of different slit lamps. Image to the left shows the Keeler portable Slit Lamp iPhone Image adapater
Posterio segment photos
Top image depicts the D-Eye prototype magnetically attached to the smartphone. retinal images of diabetic retinopathy taken with D-Eye. (Top
left) Optic disc in a retina with no apparent diabetic retinopathy. (Top right) Mild nonproliferative diabetic retinopathy. (Bottom left) Moderate
nonproliferative diabetic retinopathy. (Bottom right) Panretinal photocoagulation scars in proliferative diabetic retinopathy.
Welch Allyn Panoptic ophthalmoscope with attachment for iPhone (left). Optic nerve cupping image obtained
with iExaminer (right).
Smart phone indirect ophthalmoscopy
Top left) Polypoidal vasculopathy. (Top right) Retinal arterial macroaneurysm. (Bottom left) giant retinal tear. (Bottom right) Valsalva retinopathy.
Device for smart phone
Exceptional innovation
The problem
• 80% of blindness is avoidable.• Existing eye care tools are expensive• Difficult to use and access.• People don’t get treated quickly enough, or at
all.
The solution
• This cheap devices turns a smartphone into a comprehensive eye exam tool.
• Tested in the remotest places it gives high resolution images of the eye & its disorder at a fraction of the cost.
Our mission
• As a social enterprise we are empowering all Ophthalmologist as well as health workers by providing portable tools to help & to detect avoidable blindness.
Limitations
• The use of smart phones especially as diagnostic tools is not standardized and results should be carefully considered.
• Innovative role of smartphone technology and its use in research, education and information sharing makes smart phones a future of ophthalmology and medicine
The Use of Smart phones in Ophthalmology Edita Zvornicanin, Jasmin Zvornicanin, Bahrudin Hadziefendic.
• AbstractSmart phones are being increasingly used among health professionals. Ophthalmological applications are widely available and can turn smart phones into sophisticated medical devices. Smart phones can be useful instruments for the practice of evidence-based medicine, professional education, mobile clinical communication, patient education, disease self-management, remote patient monitoring or as powerful administrative tools.
• Innovative role of smartphone technology and its use in research, education and information sharing makes smart phones a future of ophthalmology and medicine.
• Acta Inform Med. 2014; 22(3): 206-209• doi: 10.5455/aim.2014.22.206-209
iPhones for eye surgeonsA Bastawrous, R C Cheeseman , A Kumar
London School of Hygiene and Tropical Medicine, Keppel Street, London
Survey of mobile phone ownership >99% of health professionals own a mobile
phone >81% of these being a smartphone. >The most popular smartphone currently being
the Apple iPhone. Mobile phones and the internet have arguably been two of the most
important developments in recent decades and the development of has combined these to allow many handheld capabilities beyond basic voice and text communication including advanced computing, digital photography, and geo-positioning.
BBC news 26th Nov
• The team behind a (PEEK) portable eye examination kit that uses smartphones is crowdfunding to raise funds for its new innovation.
• Peek Retina is a smartphone camera adapter engineered at the University of Strathclyde and NHS Greater Glasgow.
• Peek's apps and adapter tackle avoidable blindness by making eye care widely available.
Thank you