key: cord-0917559-0sm6pajs authors: Bhayana, Amber Amar; Prasad, Priyanka; Azad, Shorya Vardhan title: Using smartphones for documenting bedside retinal findings during COVID-19 times date: 2021-07-26 journal: BMJ Case Rep DOI: 10.1136/bcr-2021-245377 sha: 145f1b9fb97c0480691007a6a6c7d0f244514e86 doc_id: 917559 cord_uid: 0sm6pajs nan Bedside ophthalmology consultation for fundus evaluation was sought for three patients on respiratory support admitted in the COVID-19 ward. Patient 1 (figure 1A, known case of sarcoidosis) was found to have an exudative lesion with perilesional intraretinal bleed. The patient was planned for a fluorescein angiography after systemic stabilisation. Patient 2 (figure 1B, no other systemic illness) was found to have inferior atrophic retina with choroidal show and sharp demarcation line likely being a self-settled retinal detachment. Patient 3 (figure 1C, diagnosed case of rhino-orbital mucormycosis) had total ophthalmoplegia with central retinal artery occlusion. All the photos (figure 1A-C) were captured using a smartphone 1-5 on video mode and flash light on, placing the condensing 20 dioptre lens coaxially to the phone and the patient's pupil. Residents posted in COVID-19 wards, or other wards where critically ill patients are admitted, can be trained easily for this bedside fundus photography. An ophthalmologist can be contacted online for expert opinion, reducing unnecessary exposure. This can also be an aid for bedside documentation of retinal findings, daily monitoring and at places where an ophthalmologist might not be available round the clock. To conclude, we propose the use of smartphone fundus photography to document retinal findings and also for an online consultation during COVID-19 times for ill patients to minimise exposure of ophthalmologists. Contributors AAB: Imaging, preparation of manuscript and concept. PP: Diagnosis, patient management and concept. SVA: Editing. Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. Competing interests None declared. Provenance and peer review Not commissioned; externally peer-reviewed. This article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. ► Smartphones can be used to document bedside retinal findings, even by non-ophthalmologist healthcare workers. ► Additionally, during current COVID-19 times, this will make ophthalmology consultations safer by preventing unnecessary exposure. Smartphone fundus photography Use of smartphone Funduscopy to aid diagnosis of chorioretinitis after donor-recipient mismatched cardiac transplantation Comparison of smartphone ophthalmoscopy with slit-lamp biomicroscopy for grading diabetic retinopathy Smartphone-based fundus documentation in retinopathy of prematurity Ocular fundus photography with a smartphone device in acute hypertension Copyright 2021 BMJ Publishing Group. All rights reserved. For permission to reuse any of this content visit https://www.bmj.com/company/products-services/rights-and-licensing/permissions/ BMJ Case Report Fellows may re-use this article for personal use and teaching without any further permission.Become a Fellow of BMJ Case Reports today and you can: ► Submit as many cases as you like ► Enjoy fast sympathetic peer review and rapid publication of accepted articles ► Access all the published articles ► Re-use any of the published material for personal use and teaching without further permission If you have any further queries about your subscription, please contact our customer services team on +44 (0) 207111 1105 or via email at support@bmj.com.Visit casereports.bmj.com for more articles like this and to become a Fellow