Objective To manage an ophthalmological image database easily and rati
onally. Materials and Methods Fundus, macro and simultaneously recorde
d Fluorescein and ICG angiography images were digitized and archived u
sing personalcomputers and UNIX workstations. Image data were written
to CD-recordables. The CD-s with image information were stored in a ju
kebox-server. On demand image information was converted to dynamic hyp
ertext markup language (html) with a WWW-server. Information stored on
the servers could be observed with browser programs running on client
computers connected to local area network. The communication with oph
thalmologist working outside our hospital was realized by electronic m
ail. Results Different platforms (PC, Mac, workstations, etc.) and ope
rating systems (Windows 3.x, 95, NT, MacOS, UNIX, etc.) can be used as
clients. The communication with the system is accomplished by standar
d internet programs (Internet Explorer, Netscape Navigator, etc.). Tha
nks to the intuitive graphical user interface, no special computer kno
wledge is required to retrieve the stored data. Conclusion Our digital
image database has many advantages over a conventional image archive:
it is round the clock available, images can be stored and copied with
out loss of quality, digital images can be easily integrated in other
applications, it can be used without special computer knowledge, it is
expandable and compatible with all contemporary computer platforms.