Original articlePhiladelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results
Section snippets
Methods
This study describes the screening program results for a prospective randomized clinical trial. The study protocol, consent form, recruitment letters, and all data collection forms were approved by the Wills Eye Hospital Institutional Review Board (IRB) (14-441) and all aspects of the study were conducted in accordance with the Declaration of Helsinki. Written informed consent was obtained from all participants. This clinical trial is registered with ClinicalTrials.gov (NCT02390245).
Phase 1
Results
Over a 22-month period, from April 1, 2015, to February 6, 2017, 906 participants consented and attended Visit 1. A total of 553 participants (61.0%) were female and 550 (60.7%) African-American, with a mean age of 58.7 years (Table 2). A total of 532 participants (58.7%) had diabetes, with a mean HbA1c of 8.0%. A total of 616 participants (68.0%) had a history of hypertension, with a mean blood pressure of 129.9/78.6 mm Hg (Table 2). During Visit 1, 356 participants (39.3%) screened by
Discussion
This Philadelphia Telemedicine Glaucoma Detection and Follow-up Study provides a clinical screening model in an urban setting to reach those at risk for glaucoma, glaucoma suspect, and other eye diseases. The study aims to develop and evaluate the effectiveness of an innovative and more comprehensive screening method for glaucoma that uses telemedicine imaging in addition to demographic and clinical information (IOP measurements, visual acuity, and family history of glaucoma). Historically,
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2021, Survey of OphthalmologyCitation Excerpt :; Cost analyses of the Philadelphia Telemedicine Glaucoma Detection Study have justified the cost effectiveness of teleglaucoma in glaucoma screening (15). The Philadelphia Study mainly conducted glaucoma screening with IOP measurement and funduscopic images on high risk individuals according to their ethnicities (mainly African Americans, Asians, Hispanics) or those with a positive family history of glaucoma.
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