Perspectives on the Home Monitoring of Macular Disease.
James R C MillerPraveen J PatelDaren HanumunthaduPublished in: Ophthalmology and therapy (2022)
Recent advancements in imaging technology have led to increasing interest in home monitoring of macular disease. The prevalence of macular disease is projected to rise considerably over time, leading to a significant burden on hospital services for age-related macular degeneration and diabetic macular edema. Home monitoring has the potential to augment conventional hospital assessment and so enable improved access to clinical care for low- and moderate-risk patients, while also allowing sensitive detection of early signs of disease that may require prompt intervention. Despite this, there are significant considerations before large-scale implementation could be possible. These are related to both the current availability of home monitoring technology and the logistical barriers to its widespread introduction. Access to home monitoring is also likely to be more challenging in lower-income communities and countries, with subsequent implications for health inequality that will need to be considered and addressed appropriately.
Keyphrases
- healthcare
- age related macular degeneration
- sensitive detection
- optical coherence tomography
- end stage renal disease
- primary care
- diabetic retinopathy
- mental health
- randomized controlled trial
- public health
- chronic kidney disease
- newly diagnosed
- peritoneal dialysis
- high resolution
- palliative care
- risk factors
- emergency department
- mass spectrometry
- photodynamic therapy
- acute care