Digital Ocular Fundus Photography in the Emergency Department: A New Application for Telemedicine?

Emory University

Status: Completed

Conditions: Acute Visual Loss; Acute, Focal Neurologic Disease; Severely Elevated Blood Pressure; Headache

Treatments: Procedure: Use of Non-dilated retinal photography

Study type: Interventional

Funder types: Other

Identifiers

NCT00873613

IRB00006900

Details and patient eligibility

About

The purpose of this study is to determine if non-dilated retinal photography in the emergency room improves the diagnosis of papilledema (optic nerve swelling) in patients with neurologic disease compared to direct ophthalmoscopy.

Enrollment: 705 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presenting complaint of headache, acute focal neurologic disease, or acute visual changes
• Diastolic blood pressure >= 120
• Age 18 or older

Exclusion criteria

• Unable to sit-up, not interested in participation, confused
• Age 17 or younger

Trial design

Primary purpose: Screening

Allocation: Non-Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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705 participants in 2 patient groups

Direct ophthalmoscopy

No Intervention group

Non-dilated retinal photography

Experimental group

Treatment:

Procedure: Use of Non-dilated retinal photography