Enhanced access to glaucoma diagnosis and management via patient centered collaborative teleglaucoma (TG) approaches in Northern Alberta and in Ethiopia

Abstract We describe patient centered collaborative TG care models in Northern Alberta & Ethiopia (1‐3). Optometrists or technicians select high risk patients & those with possible early glaucoma, & upload structured history, exam, & diagnostic tests. Data is stored on a secure web platform (teleophthalmology.com) & graded by glaucoma specialists with recommendations for care. Validation included comparison of optic nerve features with digital 3D & 2D vs 3D slide film, and in person vs virtual exam. Stakeholder feedback improved front line & grading protocols. Some TG consults are ineffective due to patient cooperation, media opacities, & technology challenges (4). Opportunities exist for mobile phone photography of the anterior & posterior segment & leveraging ‘m health’ for e‐learning, research & patient education. Future research could focus on validation of TG models & optimal use of finite resources, including cost & comparative effectiveness. 1. J Telemed Telecare 2012;18(7):367‐73 2. MEAJO;2013:20(2):142‐9 3. Clin Exp Optom. 2013 Jun 13 4. MEAJO 2013;20(2):150‐7 Acknowledgements: Drs A Giorgis, A Mulugeta, F Kassam, S Arora, A Kurji, M Edwards, A Moalin & Secure Diagnostic Imaging