ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London



(plain text version here)

Back to previous page

Introduction of a new eyelid video clinic: Implementing and assessing safety

Author: Ankur Gupta
ePoster Number: 257


A new virtual eyelid clinic was introduced. It was designed to review eyelid lesions referred as benign, and identify those suitable for surgery without having to attend a face-to-face (F2F) appointment. Patients were asked to email photographs of their eyelid lesion in advance of their video clinic. An information sheet was devised to guide the clinician on referral/scrutiny, consultation, outcomes, and documentation. A template clinic letter was produced, which included red flags and safety net advice for both patients and GPs.
We aim to assess the safety of this new novel virtual eyelid clinic.


Retrospective review of the first 50 patients. Video clinic assessment was compared to their subsequent examination.


• 43 consultations over video
• 5 consultations over telephone (failed video)
• 2 consultations unknown encounter due to incomplete/missing documentation

• Diagnosis at first consultation:
• Chalazion – 33
• Benign eyelid growth – 9
• Suspicious eyelid growth – 5
• Unknown – 3 (telephone consult or missing documentation)

• Outcome at first consultation:
• Discharge – 9 (but were given a surveillance video review at 3 months for the purposes of this safety study)
• Listed for surgery – 28
• F2F – 6
• Video follow up – 6
• Referred to another provider – 1

• Difference in diagnosis at follow up compared to first consultation was observed in 3 patients. In all of these cases an initial diagnosis of a suspicious lesion was diagnosed as a benign lesion on F2F review


• This virtual clinic saved 30% of patients attending hospital at all, and saved 56% attending a pre-operative F2F hospital appointment
• There were no missed malignant lesions. Therefore, assessments using video and photography appears safe based on this initial 50 patient review
• No significant change in management plans noted following their second review, suggesting that video with photograph assessment is suitable for benign eyelid lesions
• Proof of principal that this novel clinic can be implemented safely, and has now become the standard of care in benign eyelid lesion assessment in our service

Additional Authors

First nameLast nameBase Hospital / Institution
SwanKangMoorfields Eye Hospital
HannahTimlinMoorfields Eye Hospital

Abstract ID: 21-155