{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T04:43:05Z","timestamp":1781066585516,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T00:00:00Z","timestamp":1612310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100019406","name":"Margie and Robert E. Petersen Foundation","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100019406","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aimed to assess the validity of telemedicine consultations using digital slit-lamp videos to detect anterior segment pathology in a paediatric population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A paediatric anterior segment specialist simultaneously performed and recorded anterior segment examinations using the Topcon digital-ready slit lamp. Components of the examination included the eyelids\/eyelashes, conjunctiva\/sclera, cornea, anterior chamber, iris and lens. Masked to clinical findings, a paediatric ophthalmologist reviewed and graded the live video feed transmitted at 4 Mbps. At least three months later, both ophthalmologists graded the stored videos. We compared the sensitivity, specificity, percent agreement and weighted kappa (\u03ba) of diagnosing anterior segment pathologies via live-streamed and store-and-forward video clips compared to the in-person standard examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Examinations of 89 eyes from 45 children (5\u201317 years old) with known anterior segment pathology were included. Agreement between live-streamed and in-person standard examinations for conjunctiva\/sclera, anterior chamber, iris and lens findings was almost perfect (sensitivity 89\u201396%, specificity 95\u2013100%, \u03ba\u2009=\u20090.87\u20130.97). Substantial agreement was found for cornea pathology (sensitivity 88%, specificity 90%, \u03ba\u2009=\u20090.72), and moderate agreement was found for eyelids\/eyelashes pathology (sensitivity 54%, specificity 92%, \u03ba\u2009=\u20090.46). Store-and-forward results were similar, though slightly better for eyelids\/eyelashes and slightly worse for conjunctiva\/sclera.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Digital slit-lamp videos hold promise for synchronous and asynchronous telemedicine in diagnosing paediatric anterior segment pathologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x21990991","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T11:08:07Z","timestamp":1612955287000},"page":"467-473","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Evaluation of digital slit-lamp videos for paediatric anterior segment telemedicine consultations"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0910-0019","authenticated-orcid":false,"given":"Divya","family":"Mulchandani","sequence":"first","affiliation":[{"name":"Keck School of Medicine, University of Southern California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bibiana J","family":"Reiser","sequence":"additional","affiliation":[{"name":"The Vision Center at Children\u2019s Hospital Los Angeles, USA"},{"name":"USC Roski Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany C","family":"Ho","sequence":"additional","affiliation":[{"name":"The Vision Center at Children\u2019s Hospital Los Angeles, USA"},{"name":"USC Roski Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W","family":"Reid","sequence":"additional","affiliation":[{"name":"The Vision Center at Children\u2019s Hospital Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly","family":"Stewart","sequence":"additional","affiliation":[{"name":"The Vision Center at Children\u2019s Hospital Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas C","family":"Lee","sequence":"additional","affiliation":[{"name":"The Vision Center at Children\u2019s Hospital Los Angeles, USA"},{"name":"USC Roski Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudha","family":"Nallasamy","sequence":"additional","affiliation":[{"name":"The Vision Center at Children\u2019s Hospital Los Angeles, USA"},{"name":"USC Roski Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,3]]},"reference":[{"key":"bibr1-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2016.05.023"},{"key":"bibr2-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2007.06.005"},{"key":"bibr3-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000001294"},{"key":"bibr4-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2014.335"},{"key":"bibr5-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16634544"},{"key":"bibr6-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2008.11"},{"key":"bibr7-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(99)80152-4"},{"key":"bibr8-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(98)00355-9"},{"key":"bibr9-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1258\/1357633001934258"},{"key":"bibr10-1357633X21990991","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.87.4.502"},{"key":"bibr11-1357633X21990991","first-page":"360","volume":"37","author":"Viera 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