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Health Care Delivery Models

Adapting to Coronavirus Disease 2019 With Point-of-Care Outdoor Intraocular Pressure Monitoring

Educational Objective
To identify the key insights or developments described in this article

1 Credit CME

JAMA Ophthalmology

Published Online: January 7, 2021

Research Letter

Article Information and Disclosures

Miel Sundararajan, MD¹;

Anh Hong Nguyen, MSc¹;

Sarah E. Lopez, OD¹;

Kareem Moussa, MD¹;

Travis K. Redd, MD, MPH¹;

Gerami D. Seitzman, MD¹

Author Affiliations

¹Francis I. Proctor Foundation, Department of Ophthalmology, University of California, San Francisco, San Francisco

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Ophthalmology has experienced the largest percentage decrease in visits of all ambulatory subspecialties during the coronavirus disease 2019 (COVID-19) pandemic.¹ Intraocular pressure (IOP) levels are difficult to measure in the telehealth setting. However, these data are critical in guiding the care of patients with glaucoma, patients receiving long-term steroid therapy, patients with chronic ocular inflammatory disease, and those in an ophthalmologic postoperative period. In these instances, determination of IOP alone might allow for the assessment of appropriateness of a telehealth visit. In our opinion, this may be especially beneficial for the most vulnerable populations, including those with advanced age and comorbidities.

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Article Information

Accepted for Publication: November 12, 2020.

Published Online: January 7, 2021. doi:10.1001/jamaophthalmol.2020.6073

Corresponding Author: Miel Sundararajan, MD, Francis I. Proctor Foundation, Department of Ophthalmology, University of California, San Francisco, 490 Illinois St, Floor 2, San Francisco, CA 94158 (miel.sundararajan@ucsf.edu).

Author Contributions: Drs Sundararajan and Seitzman had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Sundararajan, Lopez, Redd, Seitzman.

Acquisition, analysis, or interpretation of data: Sundararajan, Nguyen, Lopez, Moussa, Seitzman.

Drafting of the manuscript: Sundararajan, Lopez, Moussa, Redd, Seitzman.

Critical revision of the manuscript for important intellectual content: Sundararajan, Nguyen, Lopez, Redd, Seitzman.

Statistical analysis: Sundararajan, Seitzman.

Administrative, technical, or material support: All authors.

Supervision: Lopez, Seitzman.

Conflict of Interest Disclosures: Dr Seitzman reported personal fees from Dompé US outside the submitted work. No other disclosures were reported.

Funding/Support: This work was made possible by the National Eye Institute (grant P30 EY002162; Core Grant for Vision Research) and an unrestricted grant from Research to Prevent Blindness.

Role of the Funder/Sponsor: Core Grant for Vision Research and Research to Prevent Blindness contributed to the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.