Abstract
Objective To discuss clinical application and significance of International Physician Referral Network(IPRN) in diagnosing and treating ocular diseases. Methods A total of 318 cases from March 2014 to September 2015 were enrolled in this study. All detailed data were transmitted to the center for Fundus Diseases Control and Prevention in Kansas for discussion about the diagnosis and the opinion of treatment and surgery. Results Among the 318 cases, there were 48 cases of proliferative diabetic retinopathy, 42 cases of age related macular degeneration, 39 cases of refractory glaucoma, 35 cases of familial exudative vitreoretionpathy, 22 cases of panuveitis, 20 cases of optic neuroretinopathy, 19 cases of external exudative retinopathy, 15 cases of retinal vein occlusion, 15 cases of retinopathy in high myopic eyes, 14 cases of cytomegalovirus retinitis, 13 cases of congenital coloboma of choroid, 11 cases of retinoschisis, 8 cases of central retinal arteral occlusion, 5 cases of retinal cysticercosis, 3 cases of acute evanescent white dots syndrome, 3 cases of melanoma of choroid, 2 cases of retinal racemose angioma, 2 cases of retinal macroaneurysm, 1 case of diffuse choroid atrophy, and 1 case of melanocytoma of the optic disc. The feedback diagnosis was identical with that of us in 292 cases, the corresponding rate of diagnosis was 91.82%(292/318). The 25 G vitrectomy was performed in 42 patients with diabetic retinopathy, 5 patients with retinal cysticercosis, and 4 patients with retinal detachment caused by cytomegalovirus retinitis. 12 patients with age related macular degeneration received intravitreal ranibizumab, patients with refractory glaucoma had glaucoma filtration device implantation. All the proposed treatment methods, except some very special drugs therapy, were adopted by our hospital. Conclusion A new work mode of medical diagnosis is started by telemedicine consultation and cooperation over international medical resources in China, which deserves further exploration and enhancement. Key words: International Physician Referral Network; Internet; Ocular diseases, difficulty, complicated
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