Expanding the role of medical retina virtual clinics using multimodal ultra-widefield and optical coherence tomography imaging

Figures & data

Figure 1 Medical retina virtual clinic pro forma.

Abbreviations: OCTA, optical coherence tomography angiography; VA, visual acuity; IOP, intraocular pressure; Fu, follow up; MR, medical retina; MAC, Macular Assessment Clinic.

Table 1 Patient demographics and breakdown of number of medical retina virtual clinic appointments

Pathology	Number	Gender (male: female)	Age (years)	DNA appointment
Diabetic eye disease	315	203 (64.4%): 112 (35.6%)	54.5 (male): 54.7 (female)	25 (13.8%)
Choroidal nevus	80	20 (25%): 60 (75%)	55.9 (male): 57.0 (female)	0
Sickle cell retinopathy	21	3 (14.3%): 18 (85.7%)	24.0 (male): 30.3 (female)	4 (19.0%)
Macular (nondiabetic)	110	62 (56.4%): 48 (43.7%)	65.6 (male): 66.8 (female)	55 (16.8%)

Abbreviation: DNA, did not attend.

Table 2 Breakdown of diagnoses

Disease	Number
Diabetic eye disease
R1M0	60
R1M1	94
R2M0	79
R2M1	58
R3SM0	13
R3SM1	3
R3AM0	3
R3AM1	3
Macular (nondiabetic)
AMD (dry)	23
AMD (wet)	8
Central serous retinopathy	14
Retinal vein occlusion	12
Peripapillary choroidal neovascular membrane	5
Cystoid macular edema	4
Choroidal nevus	71
Sickle cell retinopathy	8
No pathology	40
Others	24
Not gradable because ultra-widefield imaging was not performed	2
Uncertain because of poor image quality	2

Abbreviation: AMD, age-related macular degeneration.

Table 3 Outcomes of virtual clinic appointments

Outcomes	Diabetic retinopathy	Macular (nondiabetic)	Choroidal nevus	Sickle cell retinopathy	Total
Urgent F2F appointment	16 (5.1%)	7 (6.1%)	2 (2.5%)	0	25 (4.8%)
Routine F2F appointment	72 (22.9%)	40 (35.1%)	9 (11.2%)	0	121 (23.0%)
Follow-up in virtual clinic	160 (50.8%)	17 (14.9%)	38 (47.5%)	17 (100.0%)	232 (44.1%)
Discharge	67 (21.2%)	50 (43.9%)	31 (38.8%)	0	148 (28.1%)

Abbreviation: F2F, face-to-face.

Table 4 Reasons for F2F clinic appointments

Urgent F2F appointment	25
Urgent treatment is recommended	17
Further investigation needed (eg, FFA)	4
Urgent treatment may be beneficial	2
Clinical symptoms unexplained by imaging findings	1
Image quality inadequate	1
Routine F2F appointment	121
Nonurgent treatment may be beneficial	52
Nonurgent treatment is recommended	16
Close follow-up required	16
Referred to other specialists (eg, cataract, genetics)	15
Clinical symptoms unexplained by imaging findings	14
Further investigation needed (eg, FFA)	5
Requested imaging not performed	2
Image quality inadequate	1

Abbreviations: F2F, face-to-face; FFA, fundus fluorescence angiography.