@article{97012,
  keywords = {Infectious Diseases, Public Health, Environmental and Occupational Health, General Medicine, Parasitology},
  author = {Nesemann JM and Muñoz M and Talero SL and Honorio-Morales HA and Lescano AG and Keenan JD},
  title = {Telemedicine for screening eye disease in the remote Peruvian Amazon: proof-of-concept},
  abstract = {<p>Background</p>

<p>Improvements in technology could facilitate task-shifting and ocular disease screening in rural areas.</p>

<p>Methods</p>

<p>Visual acuity (VA) was tested using a Ministry of Health 3-m VA card. Anterior segment photographs were taken using a three-dimensional printed cellphone attachment and remotely graded.</p>

<p>Results</p>

<p>Of 326 photographed eyes, 1 was ungradable. Of 123 eyes with non-refractive visual impairment, cataract was identified in 35.8%, pterygium in 41.5%, corneal opacity in 5.7% and phthisis in 2.4%.</p>

<p>Conclusions</p>

<p>While the cause of visual impairment cannot be determined without a posterior segment examination, the smartphone attachment proved to be easy to use by non-specialist workers and identified anterior segment pathology in most cases.</p>
},
  year = {2021},
  journal = {Transactions of The Royal Society of Tropical Medicine and Hygiene},
  volume = {116},
  pages = {589-591},
  publisher = {Oxford University Press (OUP)},
  issn = {0035-9203, 1878-3503},
  doi = {10.1093/trstmh/trab175},
  language = {eng},
}