{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:05:24Z","timestamp":1791623124239,"version":"4.3.4"},"reference-count":28,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000053","name":"National Eye Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000053","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30-EY06360"],"award-info":[{"award-number":["P30-EY06360"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001818","name":"Research to Prevent Blindness","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001818","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007623","name":"School of Medicine, Emory University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007623","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aaojournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmology"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.ophtha.2025.01.024","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T19:40:11Z","timestamp":1738352411000},"page":"823-829","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Emergency Department Nonmydriatic Fundus Photography Expedites Care for Patients Referred for Papilledema"],"prefix":"10.1016","volume":"132","author":[{"given":"Mung Yan","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8854-3866","authenticated-orcid":false,"given":"Hetal J.","family":"Ray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Pendley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0080-313X","authenticated-orcid":false,"given":"\u00c9tienne","family":"B\u00e9nard-S\u00e9guin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avital Lily","family":"Okrent Smolar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7918-935X","authenticated-orcid":false,"given":"Mariana Rodriguez","family":"Duran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3606-2935","authenticated-orcid":false,"given":"Mariam Torres","family":"Soto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nithya","family":"Shanmugam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"McHenry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3390-9508","authenticated-orcid":false,"given":"Gabriele","family":"Berman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T.","family":"Keadey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beau B.","family":"Bruce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy J.","family":"Newman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3594-850X","authenticated-orcid":false,"given":"Val\u00e9rie","family":"Biousse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ophtha.2025.01.024_bib1","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1097\/WNO.0000000000002120","article-title":"The increasing burden of emergency department and inpatient consultations for \u201cpapilledema\"","volume":"44","author":"Ray","year":"2024","journal-title":"J Neuroophthalmol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib2","first-page":"6","article-title":"Frequency of direct funduscopy upon initial encounters for patients with headaches, altered mental status, and visual changes: a pilot study","volume":"233","author":"Golombievski","year":"2015","journal-title":"Front Neurol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib3","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1016\/j.ophtha.2020.05.001","article-title":"The state of ophthalmology medical student education in the United States: an update","volume":"127","author":"Moxon","year":"2020","journal-title":"Ophthalmology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib4","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1212\/WNL.0000000000013312","article-title":"Introducing the Neurology Milestones 2.0","volume":"98","author":"Dewey","year":"2022","journal-title":"Neurology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib5","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1212\/WNL.0000000000002318","article-title":"Overdiagnosis of idiopathic intracranial hypertension","volume":"86","author":"Fisayo","year":"2016","journal-title":"Neurology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib6","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1056\/NEJMc1009733","article-title":"Nonmydriatic ocular fundus photography in the emergency department","volume":"364","author":"Bruce","year":"2011","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ophtha.2025.01.024_bib7","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1212\/WNL.0000000000004868","article-title":"Ophthalmoscopy in the 21st century: the 2017 H. Houston Merritt Lecture","volume":"90","author":"Biousse","year":"2018","journal-title":"Neurology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib8","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.annemergmed.2013.01.010","article-title":"Diagnostic accuracy and use of nonmydriatic ocular fundus photography by emergency physicians: phase II of the FOTO-ED study","volume":"62","author":"Bruce","year":"2013","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.ophtha.2025.01.024_bib9","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1080\/01658107.2017.1419368","article-title":"Fundus photography vs. ophthalmoscopy outcomes in the emergency department (FOTO-ED) phase III: web-based, in-service training of emergency providers","volume":"42","author":"Bruce","year":"2018","journal-title":"Neuroophthalmol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib10","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1016\/j.ophtha.2023.07.028","article-title":"Neuro-ophthalmology emergency department and inpatient consultations at a large academic referral center","volume":"130","author":"Okrent","year":"2023","journal-title":"Ophthalmology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib11","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1111\/head.14230","article-title":"Epidemiology, investigation, management, and outcome of headache in emergency departments (HEAD study)\u2014a multinational observational study","volume":"61","author":"Kelly","year":"2021","journal-title":"Headache J Head Face Pain"},{"issue":"6 C","key":"10.1016\/j.ophtha.2025.01.024_bib12","first-page":"S550","article-title":"Clinical clues and clinical rules: primary vs secondary headache","volume":"3","author":"Dodick","year":"2003","journal-title":"Adv Stud Med"},{"key":"10.1016\/j.ophtha.2025.01.024_bib13","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1212\/WNL.0000000000006697","article-title":"Red and orange flags for secondary headaches in clinical practice","volume":"92","author":"Do","year":"2019","journal-title":"Neurology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib14","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1136\/emermed-2023-213461","article-title":"Predictive performance of the common red flags in emergency department headache patients: a HEAD and HEAD-Colombia study","volume":"41","author":"Chu","year":"2024","journal-title":"Emerg Med J EMJ"},{"key":"10.1016\/j.ophtha.2025.01.024_bib15","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.1007\/s00415-010-5506-7","article-title":"Imaging results in a consecutive series of 530 new patients in the Birmingham Headache Service","volume":"257","author":"Clarke","year":"2010","journal-title":"J Neurol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib16","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1089\/tmj.2017.0120","article-title":"Accuracy and reliability of a handheld, nonmydriatic fundus camera for the remote detection of optic disc edema","volume":"24","author":"Bursztyn","year":"2018","journal-title":"Telemed E-Health"},{"key":"10.1016\/j.ophtha.2025.01.024_bib17","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1097\/j.jcrs.0000000000000837","article-title":"Physician burnout in ophthalmology: U.S. survey","volume":"48","author":"Sedhom","year":"2022","journal-title":"J Cataract Refract Surg"},{"key":"10.1016\/j.ophtha.2025.01.024_bib18","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.1055\/s-0038-1666850","article-title":"Burnout in ophthalmology residency: a national survey","volume":"10","author":"Feng","year":"2018","journal-title":"J Acad Ophthalmol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib19","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1001\/jamaophthalmol.2018.1383","article-title":"Resident wellness in US ophthalmic graduate medical education: the resident perspective","volume":"136","author":"Tran","year":"2018","journal-title":"JAMA Ophthalmol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib20","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.ophtha.2023.09.018","article-title":"Ophthalmology workforce projections in the United States, 2020 to 2035","volume":"131","author":"Berkowitz","year":"2024","journal-title":"Ophthalmology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib21","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/j.ophtha.2011.09.013","article-title":"Quality of nonmydriatic digital fundus photography obtained by nurse practitioners in the emergency department: The FOTO-ED study","volume":"119","author":"Lamirel","year":"2012","journal-title":"Ophthalmology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib22","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.ophtha.2023.11.031","article-title":"A remote consult retinal artery occlusion diagnostic protocol","volume":"131","author":"Lema","year":"2024","journal-title":"Ophthalmology"},{"key":"10.1016\/j.ophtha.2025.01.024_bib23","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/S1474-4422(22)00173-9","article-title":"Imaging of the optic nerve: technological advances and future prospects","volume":"21","author":"Biousse","year":"2022","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib24","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.survophthal.2024.09.012","article-title":"Breaking the barriers: methodology of implementation of a non-mydriatic ocular fundus camera in an emergency department","volume":"70","author":"Berman","year":"2025","journal-title":"Surv Ophthalmol"},{"key":"10.1016\/j.ophtha.2025.01.024_bib25","doi-asserted-by":"crossref","first-page":"107895","DOI":"10.1016\/j.jstrokecerebrovasdis.2024.107895","article-title":"Eye stroke protocol in in the emergency department","volume":"33","author":"B\u00e9nard-S\u00e9guin","year":"2024","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10.1016\/j.ophtha.2025.01.024_bib26","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1089\/tmj.2024.0435","article-title":"Remote diagnosis of retinal detachment in an emergency department using nonmydriatic 45-degree field color photography with optical coherence tomography","volume":"31","author":"Shanmugam","year":"2025","journal-title":"J Telemed E-Health"},{"key":"10.1016\/j.ophtha.2025.01.024_bib27","doi-asserted-by":"crossref","first-page":"1687","DOI":"10.1056\/NEJMoa1917130","article-title":"Artificial intelligence to detect papilledema from ocular fundus photographs","volume":"382","author":"Milea","year":"2020","journal-title":"N Engl J Med"},{"issue":"15 suppl","key":"10.1016\/j.ophtha.2025.01.024_bib28","doi-asserted-by":"crossref","first-page":"2743","DOI":"10.1212\/WNL.94.15_supplement.2743","article-title":"The Brain and Optic Nerve Study with Artificial Intelligence (BONSAI): a deep learning system to detect papilledema on ocular fundus photography","volume":"94","author":"Biousse","year":"2020","journal-title":"Neurology"}],"container-title":["Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161642025000788?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161642025000788?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T06:56:11Z","timestamp":1786085771000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0161642025000788"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":28,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["S0161642025000788"],"URL":"https:\/\/doi.org\/10.1016\/j.ophtha.2025.01.024","relation":{},"ISSN":["0161-6420"],"issn-type":[{"value":"0161-6420","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Emergency Department Nonmydriatic Fundus Photography Expedites Care for Patients Referred for Papilledema","name":"articletitle","label":"Article Title"},{"value":"Ophthalmology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ophtha.2025.01.024","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the American Academy of Ophthalmology","name":"copyright","label":"Copyright"}]}}