The realm of ophthalmology is brimming with advanced technological innovations. However, the journey to implementing these technologies is often fraught with challenges. This was the core theme of a recent symposium titled “Developing Ophthalmic Technologies: A Guide for Innovators to the Blood, Sweat, and Tears Behind the Headlines,” where renowned speaker Damien Yeo, BMBCH, shed light on the hurdles encountered in technology adoption, specifically Tele-ROP (Retinopathy of Prematurity) screening.
Dr. Yeo initiated the discussion by focusing on the latest cornea-touching cameras used for ROP imaging. While the digital imaging technology promises simplicity, in reality, the situation is quite complex. According to Dr. Yeo, while these digital imaging systems are excellent for record maintenance, they falter when it comes to communication within or between different hospital systems using varying cameras.
The slow adaptation of new technology within healthcare systems can be attributed to numerous factors such as poor communication and the complexity involved in integrating different components. Dr. Yeo discussed the often encountered “file too large” error messages when sending images via email, which could be resolved by using cloud-based systems. However, their implementation is often hindered as healthcare systems prefer minimal disruption to their existing systems, processes, and personnel.
Dr. Yeo emphasized that while innovating, it’s crucial to remember that the healthcare sector is a colossal machine where non-disruption is often valued more than technological advancements. He suggested a macroscopic view could help innovators avoid personal frustration and align their innovations with the broader hospital objectives.
Dr. Yeo also highlighted that a singular focus on technology perfection could overlook its practical application which could vary across individuals and departments. He cited the continued use of paper in many NICUs (Neonatal Intensive Care Units) as an example. While the slow transition to digital processes can be frustrating, understanding the intricacies involved in the work can provide insights into the challenges of digital conversion.
Looking into the future, Dr. Yeo envisions a prototype system that combines camera-agnostic, cloud-based technology designed for mobile devices. This would ensure instant data access, automatic uploads replacing USB transfers, and overall convenience for clinicians. Additionally, the new ROP cameras would offer more dynamic information beyond 2D imaging. Dr. Yeo also shared a few videos of the new system, including one from Dr. Peter Campbell at Oregon Health & Science University, showcasing the qualitative data provided by OCT for ROP screening.
In conclusion, the transition to technology-driven ophthalmic practices is a challenging journey. However, with continuous efforts, innovation, and understanding, the future of ophthalmic technology looks promising.
Reference
1 B Scruggs et al. Ophthalmology Science. 2022;2(1).
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