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Optometric telemedicine: community-based screening for choroidal neovascularisation
  1. Daniel M Hornan,
  2. Krishnappa C Madhusudhana,
  3. Richard S B Newsom
  1. University of Southampton, Southampton, Hampshire, UK
  1. Correspondence to Mr Richard S B Newsom, Southampton Eye Unit, Tremona Road, Southampton S016 6YD, UK; one{at}rbnewsom.plus.com

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Effective management of choroidal neovascularisation (CNV) requires timely referral of patients, as irreversible visual loss occurs within the first 3 months of the disease. However, a significant proportion of patients with CNV see a specialist, who is able to administer treatment, more than 6 months after the onset of symptoms.1 Many elderly patients are asymptomatic, particularly when the first eye that is affected is non-dominant. Screening and early intervention may prevent visual loss in these patients, especially with the advent of anti-VEGF therapies.

We evaluated the effectiveness of photographic screening in the community for CNV. A total of 628 consecutive patients (1177 eyes) aged 75 and over attending their optometrists were assessed. Stereo colour fundus photographs were obtained and the images transmitted electronically and graded by a retinal specialist …

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