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

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.

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Key information

Conditions

Headache Acute Visual Loss Acute, Focal Neurologic Disease Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Severely Elevated Blood Pressure Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Emory University

Atlanta, Georgia, 30322, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Use of Non-dilated retinal photography

Procedure

Kowa Non-Myd alpha-D Non-dilated fundus camera will be used to obtain photographs.

Primary outcomes

Difference in detection rate of papilledema by emergency department physicians using non-dilated retinal photography vs. direct ophthalmoscopy.

Time frame: 6-12 months

Sponsors and collaborators

Lead sponsor

Emory University

Other

Registry information

Important dates

Study start: 2009
Primary completion: 2011
Study completion: 2012
First posted: Apr 1, 2009
Registry last updated: Nov 8, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed