Abstract
Using mobile OCT equipment and remote ophthalmological diagnosis of n = 1538 diabetics
in 17 diabetes practices in Germany, we found diabetic macular edema in 10.1% of the
patients and retinal bleedings or microaneurysms in 15.6%. In 1.62% of the diabetics
examined, the size of the edema was > 0.4 mm², in 7% the retinal thickness was > 300 µm
and thus in need of treatment. An intravitreal anti-VEGF injection was administered
prior to the examination in only 10% of the patients with diabetic macular edema.
By means of mobile tele-eye consultation and remote ophthalmological diagnosis using
the cloud-based patient file certified as medical device IIa, patients with diabetic
macular edema were identified and informed on site quickly and definitively. The data
and images were made available to all attending physicians and ophthalmic surgeons.
Key words
diabetes - telediagnostics - tele-eye consultation - optical coherence tomography
- diabetic macular edema - electronic patient file
