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Digital Ocular Fundus Photography in the Emergency Department: A New Application for Telemedicine?

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ClinicalTrials.gov Identifier: NCT00873613
Recruitment Status : Completed
First Posted : April 1, 2009
Last Update Posted : November 8, 2013
Sponsor:
Information provided by (Responsible Party):

Study Description
Brief Summary:
The purpose of this study is to determine if non-dilated retinal photography in the emergency room improves the diagnosis of papilledema (optic nerve swelling) in patients with neurologic disease compared to direct ophthalmoscopy.

Condition or disease Intervention/treatment
Headache Acute, Focal Neurologic Disease Severely Elevated Blood Pressure Acute Visual Loss Procedure: Use of Non-dilated retinal photography

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 705 participants
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Screening
Official Title: Digital Ocular Fundus Photography in the Emergency Department: A New Application for Telemedicine?
Study Start Date : April 2009
Primary Completion Date : August 2011
Study Completion Date : July 2012
Arms and Interventions

Arm Intervention/treatment
No Intervention: Direct ophthalmoscopy
Experimental: Non-dilated retinal photography Procedure: Use of Non-dilated retinal photography
Kowa Non-Myd alpha-D Non-dilated fundus camera will be used to obtain photographs.


Outcome Measures

Primary Outcome Measures :
  1. Difference in detection rate of papilledema by emergency department physicians using non-dilated retinal photography vs. direct ophthalmoscopy. [ Time Frame: 6-12 months ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Presenting complaint of headache, acute focal neurologic disease, or acute visual changes
  • Diastolic blood pressure >= 120
  • Age 18 or older

Exclusion Criteria:

  • Unable to sit-up, not interested in participation, confused
  • Age 17 or younger
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00873613


Locations
United States, Georgia
Emory University
Atlanta, Georgia, United States, 30322
Sponsors and Collaborators
Emory University