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

This study has been completed.
Information provided by (Responsible Party):
Beau Bruce, MD, Emory University Identifier:
First received: March 31, 2009
Last updated: November 7, 2013
Last verified: November 2013
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 Intervention
Acute, Focal Neurologic Disease
Severely Elevated Blood Pressure
Acute Visual Loss
Procedure: Use of Non-dilated retinal photography

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Screening
Official Title: Digital Ocular Fundus Photography in the Emergency Department: A New Application for Telemedicine?

Further study details as provided by Emory University:

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

Enrollment: 705
Study Start Date: April 2009
Study Completion Date: July 2012
Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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.


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

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
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Please refer to this study by its identifier: NCT00873613

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