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A tele-therapeutic corridor between Rome and Kiev has enabled the successful remote treatment of two patients with serious retinal diseases who, if not promptly operated on with laser, would have lost their sight. These operations are unprecedented in a war context, as explained by ophthalmologist Andrea Cusumano of the University of Rome Tor Vergata, who performed the procedures together with his colleague Marco Lombardo and Oleg Parkhomenko of the Central Polyclinic of the Ukrainian Ministry of the Interior in Kiev. "Our laser," Cusumano explains, "acquired all the clinical images of the patients' retinas on a screen. It then 'designed' the treatment to be performed. The 'map' was then sent to our colleagues' laser in Kiev. The local ophthalmologist received the treatment and performed it with his own device. A third patient, in Rome, was treated remotely by Ukrainian operators." "We've done the same thing with a hospital in Arizona," Cusumano explains, "and with one in Buenos Aires, but this is the first time we've performed remotely guided laser operations in a wartime context." Described in Nature Medicine, the intervention demonstrates that, if rigorously managed, teletherapy corridors could help safeguard the continuity of care in wartime, natural disasters, or extreme geographic isolation. "With the intensification of geopolitical instability and climate change-induced disruptions, the resilience of the healthcare system will increasingly depend on the ability to decouple expertise from geographic location," Cusumano concludes.
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