title: Telemedical evaluation of ocular adnexa and anterior segment.
abstract: OBJECTIVE
  To report the accuracy of telemedical slit-lamp evaluation in examination of ocular adnexa and anterior segment.
  
  
  METHODS
  By means of contingency tables, slit-lamp findings by live examination and by real-time telemedicine were compared in 50 eyes of 25 patients.
  
  
  RESULTS
  Sensitivity percentages (proportion with findings correctly identified by telemedicine)/specificity percentages (proportion without the finding that was correctly identified by telemedicine) were 100/64 for eyelid mass, 100/85 for conjunctival pigment, 100/100 for posterior synechiae, 80/0 for blepharitis, 83/93 for iridotomy, 70/93 for pinguecula, 75/93 for iris lesions, 56/98 for corneal scar, 0/100 for chamber inflammation, 57/93 for nuclear cataract, and 37/100 for intraocular lens presence.
  
  
  CONCLUSIONS
  By means of monocular slit-lamp telemedical evaluation, clinical findings with high contrast cues for color and depth have the highest sensitivity and specificity.
authors.affiliation: Glaucoma Service, Medical College of Georgia, Augusta, USA.
authors.forename: A B
authors.initials: AB
authors.lastname: Threlkeld
authors.forename: T
authors.initials: T
authors.lastname: Fahd
authors.forename: M
authors.initials: M
authors.lastname: Camp
authors.forename: M H
authors.initials: MH
authors.lastname: Johnson
mesh_terms: D000869:Anterior Eye Segment / Q000473:pathology*; D003229:Conjunctival Diseases / Q000175:diagnosis; D003941:Diagnostic Techniques, Ophthalmological; D005128:Eye Diseases / Q000175:diagnosis*; D005141:Eyelid Diseases / Q000175:diagnosis; D006801:Humans; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D017216:Telemedicine