{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:31:53Z","timestamp":1787761913146,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>To determine the efficacy of synchronous telemedicine consultation with a corneal specialist using a macro lens attachment to a smartphone to evaluate corneal infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Patients aged 18 years or older who presented to the Cornea Clinic at Wills Eye Hospital between June 2020 and March 2021 with a corneal infection were examined by two fellowship-trained cornea specialists. One examiner (CJR) performed face-to-face (FTF) slit-lamp evaluations, whereas another examiner (ZAS) performed synchronous telemedicine visit (STV) evaluations via a smartphone with a macro lens of 7\u00d7 magnification (Olloclip; Foothill Ranch, CA, USA) held by trained study coordinators. Agreement between examinations was measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Twenty patients were enrolled with an average age of 53.1 \u00b1 13.5 years. When comparing FTF and STV approaches, perfect or excellent concordance or agreement was detected when documenting lagophthalmos (100% agreement), quadrants of conjunctival injection (100% agreement), epithelial defect size (intraclass correlation coefficient [ICC] = 0.964 and 0.946 for maximum and minimum dimensions, respectively), infiltrate size (ICC = 0.920 and 0.831 for maximum and minimum dimensions, respectively), Seidel positivity (100% agreement), presence of hypopyon (\u03ba = 1.000), size of hypopyon (ICC = 0.979), and posterior synechiae (100% agreement). Good concordance was observed for the presence of conjunctival injection (\u03ba = 0.643). Fair concordance was noted for percentage corneal thinning (ICC = 0.504) and presence of Descemet folds (\u03ba = 0.400). Poor concordance was observed for the presence and number of keratic precipitates (\u03ba = \u22120.184 and \u2212 0.042, respectively) and for anterior chamber cells (\u03ba = 0.286).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Synchronous telemedicine enabled by a macro lens-supplemented smartphone camera may be a valuable method for evaluating various key features of infectious keratitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sjopt.sjopt_392_25","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T15:22:07Z","timestamp":1781018527000},"page":"168-172","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of corneal infections using a smartphone macro lens for synchronous telemedicine"],"prefix":"10.4103","volume":"40","author":[{"given":"Joseph A.","family":"Anaya","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Cornea Service, Wills Eye Hospital, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Cornea Service, Wills Eye Hospital, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa A.","family":"Schoen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Cornea Service, Wills Eye Hospital, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilru C.","family":"Amarasekera","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Cornea Service, Wills Eye Hospital, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherie A.","family":"Fathy","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Cornea Service, Wills Eye Hospital, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Cornea Service, Wills Eye Hospital, Philadelphia, PA, 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