10 Eye Conditions Treated in Telehealth Visits

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  • Medical professionals started using telehealth (including virtual visits, videoconferencing, and remote monitoring) to diagnose and manage eye conditions even before the COVID-19 pandemic temporarily halted most in-person eye appointments. Technology allows opticians and ophthalmologists to extend vision and eye care to patients who live in rural areas or who lack transportation.

    Telehealth can’t adequately address all eye problems. In-person visits are necessary for eye emergencies and optimal treatment of many conditions. Ask your eye doctor which telehealth eye care services might be appropriate for you. In most cases, a doctor can help you treat these 10 conditions remotely.

  • 1
    Dry Eye Disease
    man putting eye drops in his eye

    Approximately 26 million Americans have dry eye disease, a medical condition that occurs when the body doesn’t produce sufficient tears to lubricate the eyes. Symptoms of dry eye disease include a burning or stinging sensation. The condition isn’t particularly harmful but can be uncomfortable.

    Normally, a comprehensive in-person exam is the first step to appropriately diagnosing and treating dry eye disease. If you can’t get an in-person visit, a virtual visit may be an option. Some eye care professionals use telehealth visits to monitor patients’ symptoms and manage disease over time.

  • 2
    Conjunctivitis (Pink Eye)
    man-with-pink-eye

    Pink eye is an infection of the conjunctiva, the thin layer that lines the white part of the eye and the inside of the eyelids. Symptoms of pink eye include an itching or burning sensation, increased tear production, and eye discharge that may cause crusting of the eyelids, especially in the morning. Conjunctivitis is usually caused by a bacterial or viral infection. Many cases will clear up without treatment, but doctors sometimes prescribe antibiotic ointment to treat pink eye.

    Some cases of pink eye may be related to COVID-19. Your doctor may recommend testing for the novel coronavirus.

  • 3
    Blepharitis
    Close-up of young Asian American boy with eye infection

    Blepharitis is inflammation of the eyelids. It usually affects both eyes and is often a chronic condition. Symptoms include red, swollen eyelids; a gritty, burning or stinging sensation; crusted eyelashes; red eyes; light sensitivity; and blurred vision that improves with blinking.

    If you develop any of these symptoms, an eye professional may be able to assess them via telemedicine. Eye professionals can also use telehealth to help patients control symptoms of chronic blepharitis.

  • 4
    Subconjunctival Hemorrhage
    Close-up of boy with bloodshot eye

    A suddenly-appearing red spot on the white of your eye may be a subconjunctival hemorrhage—essentially, a harmless collection of blood that’s leaked from tiny blood vessels in the eye. Sneezing, coughing or straining can cause a subconjunctival hemorrhage. So can a blow to the eye.

    If you (or a loved one) develops a red spot on the eye, it’s best to have it evaluated by an eye care professional. If you can’t get into the office for an exam, ask if videoconferencing is an option.

  • 5
    Pinguecula and Pterygium (Surfer’s Eye)
    eye pterygium

    Pinguecula and pterygium are degenerative growths on the eye’s conjunctiva, the moist membrane that covers the inside of the eyelids and whites of the eyes. They result from UV damage from lifelong sun exposure. They may appear as yellow or fleshy raised growths; in some cases, pinguecula and pterygium may interfere with vision. The growth may cause discomfort and swelling.

    An eye care professional may be able to diagnose pinguecula and pterygium via videoconferencing or email with photos of your eye. If the growths are causing discomfort and you can’t get into the office, the professional may be able to prescribe steroid eye drops to ease symptoms.

  • 6
    Vision Checks
    eye test using digital technology system

    A full eye exam—including assessment of your visual acuity and the structures of your eye—is recommended yearly. These exams allow eye care professionals to diagnose and treat many health conditions (including glaucoma and macular degeneration) before they cause serious damage.

    If you’re noticing changes in your vision, though, and can’t get an in-person appointment, a telehealth visit is an option. Some providers now offer online vision exams and can renew, issue or change eyeglass or contact prescriptions via telemedicine.

  • 7
    Chalazion
    eye-with-chalazion

    A swollen bump on the eyelid may look alarming. Most of the time, however, it’s not serious. A chalazion is simply an eyelid bump that occurs when an eyelid’s oil gland clogs up. It’s usually not painful but can cause redness, swelling and, rarely, blurry vision.

    Telehealth via videoconferencing allows patients to share images with eye care professionals in real time. If you (or a loved one) develops a bump on the eyelid or other unusual eye symptoms, call your eye care professional and ask if a virtual visit is an option.

  • 8
    Diabetic Retinopathy
    fundus camera used for eye exam and image of retina on computer screen

    Diabetic retinopathy is a leading cause of blindness. It’s also quite preventable. According to the Centers for Disease Control and Prevention (CDC), “early diagnosis and treatment of diabetes-related eye disease is 90% effective in preventing blindness.”

    People who have diabetes should undergo a comprehensive, in-person dilated eye exam at least once a year. Unfortunately, many people don’t have access to an eye care clinic. Some communities use telehealth to screen diabetic patients during primary care visits; images obtained via special retinal cameras are then transmitted to eye experts for evaluation.

  • 9
    Glaucoma
    Man glaring up

    Glaucoma is usually characterized by high pressure inside the eye. It is a leading cause of blindness in people older than 60. Comprehensive in-person eye exams can detect glaucoma in its early stages, allowing treatment to slow progression of the disease. Treatment aims to decrease pressure in the eye (intraocular pressure).

    Some eye care professionals use remote monitoring to check patients’ eye pressure in between visits. The Food and Drug Administration has approved at least one handheld intraocular pressure home monitoring device.

  • 10
    Macular Degeneration
    Macular Degeneration

    Macular degeneration is a leading cause of severe, permanent vision loss. It is more common in older adults than young adults. Symptoms include blurry vision and dark or blurred areas in the center of the visual field.

    Eye care professionals use the Amsler Grid test to assess visual symptoms of macular degeneration over time. The test features a checkerboard grid of intersecting vertical and horizontal lines; one eye at a time, patients are asked if any of the lines look wavy or distorted, or if any parts of the grid seem to be missing. The Amsler test can be offered digitally.

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Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2020 Apr 22
  1. Is It or Isn’t It? Allergic Conjunctivitis in a COVID-19 World. American Optometric Association. https://www.aoa.org/news/clinical-eye-care/allergic-conjunctivitis-in-a-covid-19-world
  2. Doctor of Optometry Weight How to Hit the Ground Running Once Practices Reopen. American Optometric Association. https://www.aoa.org/news/inside-optometry/doctors-of-optometry-weigh-how-to-hit-the-ground-running-once-practices-reopen
  3. Eye Doctors Switch to Virtual Visits to Reduce Spread of Coronavirus. All About Vision. https://www.allaboutvision.com/eye-exams/coronavirus-virtual-eye-doctor-visits/
  4. Telemedicine for Ophthalmology Information Statement – 2018. American Academy of Ophthalmology. https://www.aao.org/clinical-statement/telemedicine-ophthalmology-information-statement
  5. Frequently Asked Questions. EyecareLive. https://eyecarelive.com/faq/
  6. Dry Eyes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/dry-eyes/symptoms-causes/syc-20371863
  7. Conjunctivitis (Pink Eye). U.S. Centers for Disease Control and Prevention. https://www.cdc.gov/conjunctivitis/about/symptoms.html
  8. Important Coronavirus Updates for Ophthalmologists. American Academy of Ophthalmology. https://www.aao.org/headline/alert-important-coronavirus-contextCoronavirus Eye Safety. American Optometric Association. https://www.aao.org/eye-health/tips-prevention/coronavirus-covid19-eye-infection-pinkeye
  9. Is it COVID-19 or Allergies? American Academy of Ophthalmology. https://www.aao.org/eye-health/tips-prevention/coronavirus-versus-allergies-pink-eye
  10. What are Chalazia and Styes? American Academy of Ophthalmology. https://www.aao.org/eye-health/diseases/what-are-chalazia-styes
  11. Blepharitis. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/blepharitis/symptoms-causes/syc-20370141
  12. What is a Subconjunctival Hemorrhage? American Academy of Ophthalmology. https://www.aao.org/eye-health/diseases/what-is-subconjunctival-hemorrhage
  13. What Is a Pinguecula and a Pterygium (Surfer's Eye)? American Academy of Ophthalmology. https://www.aao.org/eye-health/diseases/pinguecula-pterygium
  14. Local Doctors, Patients Participate in Telehealth Sessions During Pandemic. The Tribune. http://www.tribtown.com/2020/04/18/local_doctors_patients_participate_in_telehealth_sessions_during_pandemic/
  15. What Is Telemedicine and How Does it Work in Vision Care? 1800Contacts. https://www.1800contacts.com/eyesociety/what-is-telemedicine-and-how-does-it-work-in-vision-care/
  16. Diabetic Retinopathy. National Eye Institute. https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/diabetic-retinopathy
  17. Telemedicine Increases Diabetic Eye Exams. U.S. Centers for Disease Control and Prevention. https://www.cdc.gov/features/telemedicine-eye-disease/index.html
  18. Telemedicine Increases Rates of Diabetic Retinopathy Screening. American Academy of Ophthalmology. https://www.aao.org/eyenet/article/telemedicine-screening-and-diabetic-retinopathy
  19. Das, T., Raman, R., Ramasamy, K., & Rani, P. (2015). Telemedicine in diabetic retinopathy: Current status and future directions. Middle East African Journal Of Ophthalmology, 22(2), 174. doi:10.4103/0974-9233.154391. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411613/
  20. Glaucoma. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms-causes/syc-20372839
  21. Coding: Telemedicine and Remote Physiologic Monitoring. Glaucoma Physician. https://www.glaucomaphysician.net/issues/2019/september-2019/coding-telemedicine-and-remote-physiologic-monito
  22. What is Macular Degeneration? American Macular Degeneration Foundation. https://www.macular.org/what-macular-degeneration
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