Real-Time Telementoring in Ophthalmology

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Abstract
Purpose To determine if current telemedicine technology can support real-time telementoring to teach ophthalmologic surgical procedures in remote areas. Method Using an integrated systems digital network (ISDN) line conveying information at a rate of 128 kbps, an endoscopic laser-assisted dacryocystorhinostomy (ELA-DCR) procedure was transmitted in real time from the Saint Francis Medical Center in Honolulu, Hawaii, to ophthalmologists at the Makati Medical Center in Manila, Philippines, more than 5000 miles away. Live surgical and endoscopic images were sent real time with explanations by the surgeon and with interactive questions and answers during and after the procedure. Results The ELA-DCR procedure was transmitted in real time from Honolulu to more than 100 ophthalmologists at the Makati Medical Center in the Philippines. Conclusion Current technology in telemedicine can support the use of real-time surgical telementoring to teach complex ophthalmologic procedures.

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