{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T12:48:07Z","timestamp":1747658887860,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"17","license":[{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eye"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The COVID-19 pandemic created a requirement for reduced patient contact and reduced capacity in clinics. We previously published results of an Image-Based Eyelid Lesion Management Service (IBELMS) which was found non-inferior to traditional face-to-face clinic at diagnosing lesions and identifying eyelid malignancies. We now present first-year safety and efficacy data from this service.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Data were collected retrospectively on all patients seen in NHS Greater Glasgow and Clyde eyelid photography clinics from 30<jats:sup>th<\/jats:sup> September 2020 to 29<jats:sup>th<\/jats:sup> September 2021, including referral source and diagnosis, time to clinic review, treatment and patient outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>808 patients were included in the study. Chalazion was the most common diagnoses recorded (38.4%). There was a statistically significant decrease in mean time from referral to appointment time between the first 4 months and last 4 months of the service (93 days to 22 days, <jats:italic>p<\/jats:italic>\u2009\u2264\u20090.0001). 266 (33%) of patients were discharged following photographs, 45 (6%) were discharged for non-attendance and 371 (46%) were booked for a minor procedure. 13 biopsy-confirmed malignant lesions were identified; only 3 had been referred as suspected malignancy. 23 patients out of 330 with at least 6 months follow up (7%) were re-referred within 6 months of treatment or discharge; however, none of them with a missed periocular malignancy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>Eyelid photography clinics effectively reduce patient waiting times and maximise clinic capacity. They accurately identify eyelid lesions including malignancies with a low re-referral rate. We propose that an image-based service for eyelid lesions is a safe and effective way of managing such patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1038\/s41433-023-02572-2","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T05:02:00Z","timestamp":1684904520000},"page":"3643-3647","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Is an image-based eyelid management service safe and effective?"],"prefix":"10.1038","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8503-600X","authenticated-orcid":false,"given":"Matthew","family":"Gillam","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1677-5284","authenticated-orcid":false,"given":"Osman","family":"Younus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi-Pei","family":"Loo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Connolly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7881-0922","authenticated-orcid":false,"given":"Paul","family":"Cauchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilena","family":"Gregory","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzy","family":"Drummond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Chadha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"key":"2572_CR1","unstructured":"Stevens S. Important and urgent \u2013 next steps on NHS response to COVID-19. NHS England Online. www.england.nhs.uk. Accessed February 2022."},{"key":"2572_CR2","doi-asserted-by":"publisher","first-page":"1314","DOI":"10.1038\/s41433-021-01632-9","volume":"36","author":"J Hind","year":"2022","unstructured":"Hind J, Edington M, McFall K, Salina E, Diaper C, Drummond S, et al. An image-based eyelid lesion management service\u2014evaluation of a pilot. Eye. 2022;36:1314\u20138.","journal-title":"Eye"},{"key":"2572_CR3","doi-asserted-by":"publisher","first-page":"e100287","DOI":"10.1136\/bmjhci-2020-100287","volume":"28","author":"S Kang","year":"2021","unstructured":"Kang S, Dehabadi M, Sim DA, Thomas PBM, Appiah-Ewusi D, Ezra D. Accuracy of periocular lesion assessment using telemedicine. BMJ Health Care Inf. 2021;28:e100287.","journal-title":"BMJ Health Care Inf"},{"key":"2572_CR4","doi-asserted-by":"publisher","first-page":"381","DOI":"10.4103\/0301-4738.55078","volume":"57","author":"M Verma","year":"2009","unstructured":"Verma M, Raman R, Mohan RE. Application of tele-ophthalmology in remote diagnosis and management of adnexal and orbital diseases. Indian J Ophthalmol. 2009;57:381\u20134.","journal-title":"Indian J Ophthalmol"},{"key":"2572_CR5","unstructured":"Public Health Scotland Outpatient Hospital Activity. 2019. https:\/\/www.isdscotland.org\/Health-Topics\/Hospital-Care\/Publications\/2019-11-26\/Acute-Hospital-Publication\/trend-data\/, Accessed August 2022."},{"key":"2572_CR6","doi-asserted-by":"publisher","first-page":"43","DOI":"10.4103\/ijo.IJO_428_21","volume":"70","author":"P Banerjee","year":"2022","unstructured":"Banerjee P, Koka K, Alam MS, Subramanian N, Biswas J, Krishnakumar S, et al. The spectrum and clinicopathological correlation of eyelid lesions: Twenty years\u2019 experience at a tertiary eye care center in South India. Indian J Ophthalmol. 2022;70:43\u201350.","journal-title":"Indian J Ophthalmol"},{"key":"2572_CR7","doi-asserted-by":"publisher","first-page":"107","DOI":"10.4274\/tmsj.galenos.2021.08.03.05","volume":"8","author":"M\u00d6 \u0130zzettino\u011flu","year":"2021","unstructured":"\u0130zzettino\u011flu M\u00d6, Akay FE, Garip R. Clinical and histopathological evaluation of eyelid lesions: retrospecive analysis of tertiary medical centre referrals. Turk Med Stud J. 2021;8:107\u201310.","journal-title":"Turk Med Stud J"},{"key":"2572_CR8","doi-asserted-by":"publisher","unstructured":"Ah-Kye L, Butt A, Gupta A, Timlin H, Daniel C, Uddin J, et al. Introducing the \u2018Benign Eyelid Lesion Pathway\u2019: 1 year experience of synchronous tele-oculoplastics in a tertiary hospital. Eye. 2022. https:\/\/doi.org\/10.1038\/s41433-022-02166-4.","DOI":"10.1038\/s41433-022-02166-4"},{"key":"2572_CR9","unstructured":"Office for National Statistics \u201cExploring the UK\u2019s Digital Divide\u201d. 2019. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/householdcharacteristics\/homeinternetandsocialmediausage\/articles\/exploringtheuksdigitaldivide\/2019-03-04. Accessed September 2022."},{"key":"2572_CR10","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1136\/bjophthalmol-2019-314161","volume":"104","author":"C Kern","year":"2020","unstructured":"Kern C, Fu DJ, Kortuem K, Heuemer J, Barker D, Davis A, et al. Implementation of a cloud-based referral platform in ophthalmology: making telemedicine services a reality in eye care. Br J Ophthalmol. 2020;104:312\u20137.","journal-title":"Br J Ophthalmol"}],"container-title":["Eye"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41433-023-02572-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41433-023-02572-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41433-023-02572-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T16:08:38Z","timestamp":1700669318000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41433-023-02572-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,24]]},"references-count":10,"journal-issue":{"issue":"17","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["2572"],"URL":"https:\/\/doi.org\/10.1038\/s41433-023-02572-2","relation":{},"ISSN":["0950-222X","1476-5454"],"issn-type":[{"type":"print","value":"0950-222X"},{"type":"electronic","value":"1476-5454"}],"subject":[],"published":{"date-parts":[[2023,5,24]]},"assertion":[{"value":"10 November 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 April 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2023","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2023","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}