TELEOPHTHALMOLOGY

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TELE-OPHTHALMOLOGY

• Alan Flax, Arthur Ho,
• Leanne Wade, Minas Coroneo

Department of Ophthalmology University of New
South Wales At Prince Of Wales Hospital Australia
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Rural Ophthalmology Specialist Services

• A pilot project for provision of medical and
  surgical speciality services in rural Australia
  utilising telemedicine supported by a grant from
  NSW Health

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AIM

• Teleophthalmology is used as a way of ensuring
  the availability of experts to small, regional
  hospitals and remote areas

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The OUTBACK EYE SERVICE

• a best model rural Practice network
• Bourke, Brewarrina, Lightning Ridge, Walgett,
  Forbes

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BOURKE HOSPITAL
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EQUIPMENT
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Sony DXC950p (colour 3 CCD)Haag-Streit PBQ-9000
slit-lamp
Pentium II 300 MHz 64MB FlashPoint 128
image-grabber VTel Desk Top System
3 x ISDN (384 kbps)
Pentium II 300 MHz 64MB Vtel Desk Top System
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WHAT WE DO
...WHERE NO ONE (Ophthalmologist) HAS GONE
BEFORE
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TRAIN OPHTHALMIC ASSISTANTS
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TRAINING
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TRAINING

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IMAGING BY OPHTHALMIC ASSISTANT
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TRAINING
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TRAINING
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IMAGING THE PATIENT
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BACK OF BOURKE
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utilisation

• emergencies

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CHEMICAL BURN
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CHEMICAL BURN
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utilisation

• emergencies
• planned follow-up

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AS SEEN FROM POWH
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PTERYGIUM
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POST - OP VISIT
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POST - OP VISIT
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utilisation

• emergencies
• planned follow-up
• screening

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DIABETIC RETINOPATHY
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utilisation

• Emergencies
• planned follow-up
• screening
• second opinion

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CATARACT
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CATARACT
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BASAL CELL CARCINOMA ON THE EYELID MARGIN
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EXPOSED BUCKLE
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NEW VESSEL AT THE MACULA
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TELEOPHTHALMOLOGY DID WE MAKE A DIFFERENCE?