Smart phone in ophthalmology~ How to fits with ophthalmologist tool bag

1. Dr Md Afzal Mahfuzullah
Long term Fellow
Vitreo-Retina Department
Chairman
Dr Mostafizur Rahman
Associate Professor cum Sr Consultant
Head of
Vitreo-Retina Department
Ispahani Islamia Eye Institute & Hospital

2. Smart phone & Ophthalmology -
How to fit in Ophthalmology’s tool bag

3. Introduction:
• Smart phones are being increasingly used
among health professionals.
• Ophthalmological applications are widely
available and can turn smart phones into
sophisticated medical devices.

4. Uses:
• Smart phones can be useful instruments for the
practice of :
• Evidence-based medicine
• Professional education
• Mobile clinical communication
• Patient education, disease self-management
• Remote patient monitoring or as a powerful
administrative tools.

5. Applications:
Several applications are available for different
ophthalmological examinations that can assess
• Visual acuity
• Color vision
• Astigmatism
• Pupil size
• Amsler grid test and more.

6. Other Apps
Colour photograph & Video
• i)Patient photograph
• ii) Anterior segment
• iii)Posterior segment
• iv)Surgical procedure
• Patient data recording

7. Research
i) Ophthalmic books & colour atlas
ii) Journal & literature search
iii) Ophthalmic conference update
iv) Email checkup
v) Experience share on social media

9. How to install & Use of Apps

10. Examination

11. Surgical Apps

12. Patient purpose
An alarm notifies them that it’s time to take a
specific drop; a picture of the bottle can be
displayed.

13. Patient purpose
The app also shows how to instill drops correctly
and allows charting of IOP results over time.

14. Anterior sgment photos

15. Anterior segment photograph showing
Hypopyon due to endophthalmitis

16. Posterior synacheae

17. Subluxated lens (superotemporal)

18. Xray orbit looking up & down

19. Asteroid hyalosis (Slit lamp photo)

20. Retrolental RD

21. Modern updated devices
• .
• .
Top left image shows EyePhotoDoc
adapter, which mount an iPhone to
the Haag-Streit slit lamp. Top right
image shows Zarf’s iPhone
adapter, which fits a variety of
different slit lamps. Image to the left
shows the Keeler portable Slit
Lamp iPhone Image adapater

22. Posterio segment photos

23. Top image depicts the D-Eye prototype magnetically attached to the
smartphone. retinal images of diabetic retinopathy taken with D-Eye. (Top
left) Optic disc in a retina with no apparent diabetic retinopathy. (Top
right) Mild nonproliferative diabetic retinopathy. (Bottom left) Moderate
nonproliferative diabetic retinopathy. (Bottom right) Panretinal
photocoagulation scars in proliferative diabetic retinopathy.

25. Welch Allyn Panoptic ophthalmoscope with attachment
for iPhone (left). Optic nerve cupping image obtained
with iExaminer (right).

28. Smart phone indirect ophthalmoscopy
Top left) Polypoidal vasculopathy. (Top right)
Retinal arterial macroaneurysm. (Bottom left) giant
retinal tear. (Bottom right) Valsalva retinopathy.

29. Device for smart phone

30. Exceptional innovation

34. The problem
• 80% of blindness is avoidable.
• Existing eye care tools are expensive
• Difficult to use and access.
• People don’t get treated quickly enough, or at all.

35. The solution
• This cheap devices turns a smartphone into a
comprehensive eye exam tool.
• Tested in the remotest places it gives high
resolution images of the eye & its disorder at a
fraction of the cost.

36. Our mission
• As a social enterprise we are empowering all
Ophthalmologist as well as health workers by
providing portable tools to help & to detect
avoidable blindness.

37. Limitations
• The use of smart phones especially as
diagnostic tools is not standardized and results
should be carefully considered.
• Innovative role of smartphone technology and
its use in research, education and information
sharing makes smart phones a future of
ophthalmology and medicine

38. The Use of Smart phones in Ophthalmology
Edita Zvornicanin, Jasmin Zvornicanin, Bahrudin Hadziefendic.
• Abstract
Smart phones are being increasingly used among
health professionals. Ophthalmological applications
are widely available and can turn smart phones into
sophisticated medical devices. Smart phones can be useful
instruments for the practice of evidence-based medicine, professional education, mobile
clinical communication, patient education, disease self-management, remote patient
monitoring or as powerful administrative tools.
• Innovative role of smartphone technology and its
use in research, education and information sharing
makes smart phones a future of ophthalmology and
medicine.
• Acta Inform Med. 2014; 22(3): 206-209
• doi: 10.5455/aim.2014.22.206-209

39. iPhones for eye surgeons
A Bastawrous, R C Cheeseman , A Kumar
London School of Hygiene and Tropical Medicine, Keppel Street, London
Survey of mobile phone ownership
>99% of health professionals own a mobile
phone
>81% of these being a smartphone.
>The most popular smartphone currently being
the Apple iPhone.
Mobile phones and the internet have arguably been two of the most
important developments in recent decades and the development of
has combined these to allow many handheld capabilities beyond
basic voice and text communication including advanced computing,
digital photography, and geo-positioning.

40. BBC news 26th Nov
• The team behind a (PEEK) portable eye examination
kit that uses smartphones is crowdfunding to raise
funds for its new innovation.
• Peek Retina is a smartphone camera adapter
engineered at the University of Strathclyde and NHS
Greater Glasgow.
• Peek's apps and adapter tackle avoidable blindness by
making eye care widely available.

43. Thank you