Responses

Accuracy of periocular lesion assessment using telemedicine
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Clinical governance issues with telemedicine for periocular lesion assessment
    • Jennifer Hind, Ophthalmology Registrar Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow
    • Other Contributors:
      • Vikas Chadha, Consultant Ophthalmologist (Oculoplastics and Ocular Oncology)

    We read with interest the published study “Accuracy of periocular lesion assessment using telemedicine” [1]. The authors correctly identify a paucity of evidence for image-based triage or management of minor lid complaints, which has become an attractive option for reducing footfall in the oculoplastics clinic in the current situation. We have had a similar experience to the authors with the translation of our “one-stop” minor lids clinic into an image-based initial virtual assessment. We performed a pilot study to ascertain whether we could achieve diagnostic accuracy with images and a brief history that demonstrated agreement between a face-to-face and remote review (paper currently under peer-review) similar to this published study.

    Although demonstrating diagnostic accuracy is important in the development of this service, ensuring safety is a critical clinical governance area and should be addressed while rolling out such a service. Skin cancer referrals were excluded from this published study. While skin cancers are not routinely seen in a minor lids clinic, these are occasionally diagnosed in this setting especially if the referral does not have adequate information. In our cohort of 97 patients seen in the ‘minor operations’ clinic, 8 malignancies (basal cell carcinomas) were identified. These were all flagged up by the virtual assessment. The fact that none of the malignant lesions were missed in our cohort is very encouraging in terms of safety of...

    Show More
    Conflict of Interest:
    None declared.