01507nas a2200241   4500000000100000008004100001260003400042653002400076653005700100653002100157653001700178100001600195700001300211700001400224700002300238700001500261700001400276245009100290300001200381490000800393520083900401022002501240       2021                            d  bOxford University Press (OUP)10aInfectious Diseases10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aParasitology1 aNesemann JM1 aMuñoz M1 aTalero SL1 aHonorio-Morales HA1 aLescano AG1 aKeenan JD00aTelemedicine for screening eye disease in the remote Peruvian Amazon: proof-of-concept  a589-5910 v1163 a<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>
  a0035-9203, 1878-3503