Drawing with pathology
Physician drawings have represented a method for documenting features noted on retinal examination for as long as clinicians have examined the fundus. Although the understanding of both posterior and peripheral retinal pathology has evolved considerably, the method of documentation by retinal drawing has essentially not changed from the early concepts. Although clinicians are moving away from paper charts to electronic medical records, the method to provide drawing tools has remained a palette of colored pencils. This requires the clinician not only to draw the lesions he desires, but then he must also label the lesions drawn, and then in the findings repeat what he has observed and drawn. Furthermore, with the availability of retinal images, physicians also wish to document pathology identified on the images, its size and position.
A formalized system is needed for coding pathology by drawing using a template of pathologic lesions in order to improve follow up comparison and management and to insure more comprehensive communication among providers. Introducing Ocudraw. With Ocudraw Lite, the physician draws on a template using a palette of pathologic lesions. Subretinal lesions are drawn beneath intra-retinal with pre-retinal lesions placed on top either on templates of the posterior retina or those of the full extent of the retina. When the drawing is saved, the pathology is identified in the image with the lesions contained in the DICOM header for inclusion as findings in electronic charts. Ocudraw Pro provides all of this plus the ability to draw on top of imported retinal or OCT images, with the additional capability of defining areas and perimeters of the pathology identified.