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Sanidad Militar

Print version ISSN 1887-8571

Abstract

GALLARDO-CHAMIZO, FA  and  GIL-LOPEZ, PJ. Analysis of clinical cases in the Oftalmology area attended by the Telemedicine Service of the Hospital Central de la Defensa «Gómez Ulla» during the years 2017, 2018 and 2019. Sanid. Mil. [online]. 2020, vol.76, n.3, pp.151-160.  Epub Mar 08, 2021. ISSN 1887-8571.  https://dx.doi.org/10.4321/s1887-85712020000300003.

Background and Objectives:

Evaluation of Ophthalmology clinical cases attended to by the Telemedicine Service of the Central Defense Hospital Gómez Ulla in 2017, 2018 and 2019, studying age, sex, employment, ophthalmological history, response time, tests, diagnosis, treatments, evacuations, media and place.

Material and Methods:

Retrospective observational study of the 37 clinical cases from the database of the Telemedicine Service.

Results:

Ophthalmology is among the 10 most highly demanded specialities and requests are increasing every year. The pathology with the highest prevalence is conjunctival injury or corneal abrasion due to accidents. In 65% of the cases, thanks to the ophthalmologist’s instructions, treatment within the mission was possible. The deployed health staff lacked the necessary medication in at least 6 cases. A history of ophthalmological diseases was found in some patients, which could be the cause of the disease that was observed.

Conclusions:

Greater eye protection would be advisable, since the majority of cases consist of traumatic accidents and splashes. Extensive pre-mission reviews should be conducted by reviewing possible issues that may trigger mission problems. It would be advisable to equip all deployed healthcare staff with the necessary medications that were identified in this work, which have been recommended by ophthalmologists. The Telemedicine Service has made it possible for specialists in the area of Ophthalmology to provide valuable support to deployed healthcare staff in a wide range of remote locations. In addition to avoiding unnecessary medical evacuations, this service facilitates appropriate evacuations that might otherwise may have been delayed.

Keywords : Telemedicine; Telehealth; Military Medicine; Teleophthalmology; Ophthalmology.

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