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Description of the Telemedical Eye Examination System Talkingeyes®
Autoren: Georg Michelson (Erlangen)


1 Medical Background

The Telemedical Eye Examination System Talkingeyes® allows retinal and anterior segment diagnostics to be more accessible to healthcare consumers, improving medical outcomes.
Using the award-winning Talkingeyes® system, retinal and corneal eye examinations were allowed at primary care centres , the workplace and retail health clinics. The Telemedical Eye Examination System Talkingeyes® is used to screen for the leading causes of blindness throughout the world – trachoma, diabetic retinopathy, hypertensive retinopathy, macular degeneration, and glaucoma. Using Talkingeyes® microangiopathic abnormalities, which manifest early in the retina in cardiovascular disease, can be detected in their earliest stages.

The Telemedical Eye Examination System Talkingeyes® helps to prevent devastating complications, such as severe vision loss, thus lowering mental anxiety and healthcare costs.
The unique structure-function correlations make the anterior visual pathway (entweder: together with oder: comprising) retina and optic nerve into an ideal model for investigating diseases that target microangiopathies, axonal and neuronal degeneration. Abnormalities of the optic nerve and the retinal microvascular bed, such as optic nerve atrophy, focal and generalized arteriolar narrowing and arteriovenous nicking, are known to be typical abnormalities of the ocular fundus in patients with systemic hypertension, diabetes or stroke. It is well known that retinal microvascular abnormalities are strongly related to past and current hypertension or diabetes mellitus. Axonal and neuronal degeneration of the retina and optic nerve head were often observed in patients with systemic diseases or cerebral neurodegeneration. Retinal nerve fiber layer thickness is statistically reduced in patients with mild cognitive impairment (and, or, such as?) mild Alzheimer Disease compared to controls. The retinal nerve fiber layer thickness RNFL followed by optic nerve atrophy is involved at an early stage during the course of amnestic mild cognitive impairment.
“Simple” optic nerve atrophy, arteriolar narrowing and arteriovenous nicking have also been found in normotensive and non-diabetic populations. The origin of these changes in normotensive or non-diabetic subjects is not fully understood, but is favored by several factors, including elevated blood lipids, smoking, and lack of exercise. Previous studies have shown that arteriolar narrowing and arteriovenous nicking are related to increasing age. This was documented in mixed populations containing hypertensive and/or diabetic subjects.





Chapters
1 Medical Background




2 Technical Description of Important Aspects of the Telemedical Eye Examination Systems Talkingeyes®




3 Operational Description and Medical Applications of the Telemedical Eye Examination Systems Talking




4 Prevalence of Retinal Microangiopathic Abnormalities and Optic Nerve Atrophy in “Healthy” Subjects D




5 Contact




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