Threlkeld A B, Fahd T, Camp M, Johnson M H
Glaucoma Service, Medical College of Georgia, Augusta, USA.
Am J Ophthalmol. 1999 Apr;127(4):464-6. doi: 10.1016/s0002-9394(98)00355-9.
To report the accuracy of telemedical slit-lamp evaluation in examination of ocular adnexa and anterior segment.
By means of contingency tables, slit-lamp findings by live examination and by real-time telemedicine were compared in 50 eyes of 25 patients.
Sensitivity percentages (proportion with findings correctly identified by telemedicine)/specificity percentages (proportion without the finding that was correctly identified by telemedicine) were 100/64 for eyelid mass, 100/85 for conjunctival pigment, 100/100 for posterior synechiae, 80/0 for blepharitis, 83/93 for iridotomy, 70/93 for pinguecula, 75/93 for iris lesions, 56/98 for corneal scar, 0/100 for chamber inflammation, 57/93 for nuclear cataract, and 37/100 for intraocular lens presence.
By means of monocular slit-lamp telemedical evaluation, clinical findings with high contrast cues for color and depth have the highest sensitivity and specificity.
报告远程医疗裂隙灯评估在眼附属器和眼前节检查中的准确性。
通过列联表，对25例患者的50只眼进行裂隙灯活体检查和实时远程医疗检查结果的比较。
眼睑肿物的灵敏度百分比（远程医疗正确识别发现的比例）/特异度百分比（未发现被远程医疗正确识别的比例）为100/64，结膜色素为100/85，虹膜后粘连为100/100，睑缘炎为80/0，虹膜切开术为83/93，睑裂斑为70/93，虹膜病变为75/93，角膜瘢痕为56/98，房水炎症为0/100，核性白内障为57/93，人工晶状体存在为37/100。
通过单眼裂隙灯远程医疗评估，具有高对比度颜色和深度线索的临床发现具有最高的灵敏度和特异度。
