Exercise-Induced Visual Phenomena: Using Defining Characteristics to Identify Cause

Telemedicine utilization in ophthalmology has increased, with the COVID-19 pandemic motivating rapid adoption. Interprofessional electronic consultations (eConsults) are a telemedicine modality in which consulting providers review outside records and provide recommendations on evaluation and workup without an in-person consultation. The purpose of this study was to describe the utilization and limitations of eConsults in the diagnosis and management of neuro- ophthalmic conditions. This retrospective cohort study investigated all patients who received an eConsult for a neuro- ophthalmic condition performed by neuro-ophthalmologists at a single tertiary referral center from 2018 to 2020. Main outcome measures included proportion of eConsults in which sufficient outside records and testing were provided to the neuro-ophthalmologist to generate a definitive management decision, proportion of patients for whom an in-person neuro- ophthalmology evaluation was recommended, and the eConsult's impact on patient care.