mHealth App for iOS to Help in Diagnostic Decision in Ophthalmology to Primary Care Physicians

  • Marta Manovel López
  • Miguel Maldonado López
  • Isabel de la Torre Díez
  • José Carlos Pastor Jimeno
  • Miguel López-Coronado
Mobile & Wireless Health
Part of the following topical collections:
  1. Mobile & Wireless Health


Decision support systems (DSS) are increasingly demanded due that diagnosis is one of the main activities that physicians accomplish every day. This fact seems critical when primary care physicians deal with uncommon problems belonging to specialized areas. The main objective of this paper is the development and user evaluation of a mobile DSS for iOS named OphthalDSS. This app has as purpose helping in anterior segment ocular diseases’ diagnosis, besides offering educative content about ophthalmic diseases to users. For the deployment of this work, firstly it has been used the Apple IDE, Xcode, to develop the OphthalDSS mobile application using Objective-C as programming language. The core of the decision support system implemented by OphthalDSS is a decision tree developed by expert ophthalmologists. In order to evaluate the Quality of Experience (QoE) of primary care physicians after having tried the OphthalDSS app, a written inquiry based on the Likert scale was used. A total of 50 physicians answered to it, after trying the app during 1 month in their medical consultation. OphthalDSS is capable of helping to make diagnoses of diseases related to the anterior segment of the eye. Other features of OphthalDSS are a guide of each disease and an educational section. A 70% of the physicians answered in the survey that OphthalDSS performs in the way that they expected, and a 95% assures their trust in the reliability of the clinical information. Moreover, a 75% of them think that the decision system has a proper performance. Most of the primary care physicians agree with that OphthalDSS does the function that they expected, it is a user-friendly and the contents and structure are adequate. We can conclude that OphthalDSS is a practical tool but physicians require extra content that makes it a really useful one.


App Decision support system (DSS) iOS Mhealth Ophthalmology 



This research has been partially supported by the European Commission and the Ministry of Industry, Energy and Tourism under the project AAL-20125036 named “WetakeCare: ICT-based Solution for (Self-) Management of Daily Living”. We thank the physicians who participating in this study.

Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Marta Manovel López
    • 1
  • Miguel Maldonado López
    • 2
  • Isabel de la Torre Díez
    • 1
  • José Carlos Pastor Jimeno
    • 2
  • Miguel López-Coronado
    • 1
  1. 1.Department of Signal Theory and Communications, and Telematics EngineeringUniversity of ValladolidValladolidSpain
  2. 2.University Institute of Applied Ophthalmobiology (IOBA)University of ValladolidValladolidSpain

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