smart phone in ophthalmology

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