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

Emory University705 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Enrollment

705

Conditions

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

Interventions

Use of Non-dilated retinal photographyPROCEDURE

Kowa Non-Myd alpha-D Non-dilated fundus camera will be used to obtain photographs.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Emory University

Atlanta, Georgia, United States

Outcomes

Primary Outcomes

Difference in detection rate of papilledema by emergency department physicians using non-dilated retinal photography vs. direct ophthalmoscopy.

Time frame: 6-12 months

Data from ClinicalTrials.gov

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