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

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00873613

Enrollment

705

Registered

2009-04-01

Start date

2009-04-30

Completion date

2012-07-31

Last updated

2013-11-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute, Focal Neurologic Disease, Acute Visual Loss, Headache, Severely Elevated Blood Pressure

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.

Interventions

PROCEDUREUse of Non-dilated retinal photography

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

Study design

Allocation

NON_RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

SCREENING

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame
Difference in detection rate of papilledema by emergency department physicians using non-dilated retinal photography vs. direct ophthalmoscopy.	6-12 months

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026