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The first report of the use of the smartphones for this purpose was in 2010 by Lord et al, 2 who showed that these devices could be used for many clinical and educational tools, including capturing images of the eye, such as external photos, slit-lamp photos, and fundus photos. 2 Since then, newer techniques and modifications have resulted in the acquisition of high-quality images that compare to images obtained with more expensive ophthalmic imaging devices. https://www.telescope.com/Astrophotography/Astrophotography-Accessories/Orion-SteadyPix-Telescope-Photo-Adapter-for-iPhone/c/4/sc/61/p/101445.uts (accessed on 20 October 2022) I’m using it for documentation. I have just enough information to know if it’s serious or not,” he clarifies.
This adapter has one or two clamps that will hold the sides and bottom of the smartphone. A sliding system will move to align the smartphone camera lens with the adapter hole. Dr. Korn says he still owns that Nikon D800 and also a Sony Alpha 7 III, but as far as his work as an ophthalmologist is concerned, they are “gathering dust” because he is able to provide frictionless care using the iPhone. They can now send me pictures remotely and I can conduct a televideo visit with them and ask them to show me their eye,” he says. “And that improves telemedicine. I can then bring in the people who really need to be seen in person, and those who are not an urgent case can still get care conveniently at home.” Dr. Korn says that this is why doctors who want to be conscientious will take photos to monitor progress in addition to copious notes. Some comments in response to his post on LinkedIn have encouraged Dr. Korn to use a higher quality standalone camera so that he can see more detail, but the doctor explains that’s not the point of what he is doing. Having an optical system that allows you to capture procedures while performing them democratizes digital ophthalmic imaging, not just regarding the slit lamp but also in terms of surgical training, for which camera systems for operating microscopes are often prohibitively expensive.I also AirDrop the patient’s eye photos to the patient’s phone so that they have a record as well,” he says. “So if they ever go to see another doctor, they can see what it was like before.” Because each iPhone model has a different shape, you must get an iPhone slit lamp adapter case designed for your particular model. i.e., if you bought the one for the iPhone 4 and upgraded to the iPhone 5, you will need to get a new adapter case for the new phone.
I was also able to teach a nurse practitioner how to perform Goldmann applanation tonometry proficiently over 2 clinics. The practitioner had been sitting in on 1 glaucoma clinic a week over the previous 2 years to try to learn this skill, without success. Jan Bond Chan, (MBBS) 1,2, Hao Chi Ho, (MBBS) 1,2, Nor Fariza Ngah, (MBBS, MS Ophthal) 1, Elias Hussein, (MBBS, MS Ophthal) 1 https://www.celestron.de/ce_de/nexyz-universaler-3-achsen-smartphone-adapter.html (accessed on 20 October 2022) Figure 5: An innovative way to display anterior segment pictures through LCD projector, monitor or LED/LCD TV How to use the smartphone slit lamp camera Barsam A, Bhogal M, Morris S, Little B. Anterior segment slitlamp photography using the iPhone. J Cataract Refract Surg. 2010;36(7):1240–1. https://doi.org/10.1016/j.jcrs.2010.04.001.Chan JB, Ho HC, Hussein NFE. DIY—smartphone slit-lamp adaptor. Journal MTM. 2014;3(1):16–22. https://doi.org/10.7309/jmtm.3.1.4. Though there might be concern regarding patient’s confidentiality when pictures taken are stored in the doctor’s personal smartphone, these problems may be solved by archiving the picture in a separate system like Picture Archiving and Communication System (PACS) 7.
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