American Journal of Ophthalmology
Volume 139, Issue 4 , Pages 597-604 , April 2005

A telemedicine program for diabetic retinopathy in a Veterans Affairs Medical Center—the Joslin Vision Network Eye Health Care Model

Presented in part at the American Telemedicine Association meeting, Los Angeles, California, June 2002.

  • Anthony A. Cavallerano, OD

      Affiliations

    • Beetham Eye Institute, Joslin Diabetes Center
    • Veterans Affairs (VA) Boston Healthcare System, Boston, Massachusetts
    • ,
  • Jerry D. Cavallerano, OD, PhD

      Affiliations

    • Beetham Eye Institute, Joslin Diabetes Center
    • ,
  • Paula Katalinic, BOptom

      Affiliations

    • Beetham Eye Institute, Joslin Diabetes Center
    • ,
  • Beatrice Blake, COA

      Affiliations

    • Veterans Affairs (VA) Medical Center, Togus, Maine
    • ,
  • Michael Rynne, MD

      Affiliations

    • Veterans Affairs (VA) Medical Center, Togus, Maine
    • ,
  • Paul R. Conlin, MD

      Affiliations

    • Harvard Medical School
    • Veterans Affairs (VA) Boston Healthcare System, Boston, Massachusetts
    • ,
  • Kristen Hock, BS

      Affiliations

    • Beetham Eye Institute, Joslin Diabetes Center
    • ,
  • Ann Marie Tolson, BA

      Affiliations

    • Beetham Eye Institute, Joslin Diabetes Center
    • ,
  • Lloyd Paul Aiello, MD

      Affiliations

    • Beetham Eye Institute, Joslin Diabetes Center
    • Harvard Medical School
    • ,
  • Lloyd M. Aiello, MD

      Affiliations

    • Harvard Medical School
    • Veterans Affairs (VA) Boston Healthcare System, Boston, Massachusetts
    • Corresponding Author InformationInquiries to: Lloyd M. Aiello, MD, Beetham Eye Institute, Joslin Diabetes Center, 1 Joslin Place, Boston, MA 02215
    • ,
  • Joslin Vision Network Research Team

,Accepted 28 October 2004.

References 

  1. Moss SE , Klein R , Klein BE . The 14-year incidence of visual loss in a diabetic population . Ophthalmology . 1998;105:998–1003
  2. National Diabetes Data Group . Diabetes in America . (Report No. NIH no. 95–1468) 2nd ed.. Washington, DC: US Government Printing Office; 1995;
  3. Klein R , Klein BE , Moss SE , Davis MD , DeMets DL . The Wisconsin Epidemiologic Study of Diabetic Retinopathy. VI. Retinal photocoagulation . Ophthalmology . 1987;94:747–753
  4. Bursell SE , Cavallerano JD , Cavallerano AA , et al.   Stereo nonmydriatic digital-video color retinal imaging compared with Early Treatment Diabetic Retinopathy Study seven standard field 35-mm stereo color photos for determining level of diabetic retinopathy . Ophthalmology . 2001;108:572–585
  5. Aiello LM , Bursell SE , Cavallerano J , Gardner WK , Strong J . Joslin Vision Network Validation Study (pilot image stabilization phase) . J Am Optom Assoc . 1998;69:699–710
  6. Aiello LM , Cavallerano J , Cavallerano A , Bursell S . The Joslin Vision Network (JVN) (Innovative telemedicine care for diabetes) . Ophthalmol Clin N Am . 2000;13:213–224
  7. Cavallerano AA , Cavallerano JD , Katalinic P , Tolson AM , Aiello LP , Aiello LM . Use of Joslin Vision Network digital-video nonmydriatic retinal imaging to assess diabetic retinopathy in a clinical program . Retina . 2003;23:215–223
  8. Aiello LP , Gardner TW , King GL , et al.   Diabetic retinopathy . Diabetes Care . 1998;21:143–156
  9. Cavallerano J , Cooppan Red . Care of the patient with diabetes mellitus, 3rd ed . St Louis, MO: American Optometric Association; 2002; (Optometric Clinical Practice Guideline).
  10. American Academy of Ophthalmology Retinal Panel . Preferred Practice Pattern (Diabetic Retinopathy) . San Francisco, California: American Academy of Ophthalmology; 2003;
  11. Early Treatment Diabetic Retinopathy Study Research Group . Grading Diabetic Retinopathy from Stereoscopic Color Fundus Photographs—an Extension of the Modified Airlie House Classification. ETDRS Report Number 10 . Ophthalmology . 1991;98(suppl):786–806
  12. Kini MM , Leibowitz HM , Colton T , Nickerson RJ , Ganley J , Dawber TR . Prevalence of senile cataract, diabetic retinopathy, senile macular degeneration, and open-angle glaucoma in the Framingham Eye Study . Am J Ophthalmol . 1978;85:28–34
  13. Kahn HA , Leibowitz HM , Ganley JP , et al.   The Framingham Eye Study. I. Outline and major prevalence findings . Am J Epidemiol . 1977;106:17–32
  14. Lin DY , Blumenkranz MS , Brothers RJ , Grosvenor DM . The sensitivity and specificity of single-field nonmydriatic monochromatic digital fundus photography with remote image interpretation for diabetic retinopathy screening (a comparison with ophthalmoscopy and standardized mydriatic color photography) . Am J Ophthalmol . 2002;134:204–213
  15. Fransen SR , Leonard-Martin TC , Feuer WJ , Hildebrand PL . Clinical evaluation of patients with diabetic retinopathy (accuracy of the Inoveon Diabetic Retinopathy-3DT System) . Ophthalmology . 2002;109:595–601
  16. Lim JI , Labree L , Nichols T , Cardenas I . Comparison of nonmydriatic digitized video fundus images with standard 35-mm slides to screen for and identify specific lesions of age-related macular degeneration . Retina . 2002;22:59–64
  17. Bitsios P , Prettyman R , Szabadi E . Changes in autonomic function with age (a study of pupillary kinetics in healthy young and old people) . Age Ageing . 1996;25:432–438
  18. Cahill M , Eustace P , de Jesus V . Pupillary autonomic denervation with increasing duration of diabetes mellitus . Br J Ophthalmol . 2001;85:1225–1230
  19. ATA Report . Telehealth practice recommendations for diabetic retinopathy . Telemed J eHealth . 2004;10:469–482
  20. Chow S-P , Cavallerano J , Katalinic P , et al.   Comparison of nonmydriatic digital retinal imaging with dilated clinical eye exam for detecting non-diabetes-related pathology in diabetic patients . Invest Ophthalmol Vis Sci . 2004;45:E4120
  21. Wilkinson CP , Ferris FL , Klein RE , et al.   Proposed International Clinical Diabetic Retinopathy and Diabetic Macular Edema Disease Severity Scales . Ophthalmology . 2003;110:1677–1682

 A list of the Joslin Vision Network Research Team appears in Ophthalmology 2001;108:572.Funding for this study was provided in part from a contract sponsored by the Department of the Army by Cooperative Agreement DAMD 17-98-2-8017 for the Joslin/Department of Defense (DOD)/Department of Veterans Affairs (VA) Program. The content of the information within this program does not necessarily reflect the position or the policy of the government, and no official endorsement should be inferred.

PII: S0002-9394(04)01369-8

doi: 10.1016/j.ajo.2004.10.064

American Journal of Ophthalmology
Volume 139, Issue 4 , Pages 597-604 , April 2005

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