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本文引用的文献

1
Improving diabetic retinopathy screening in Africa: patient satisfaction with teleophthalmology versus ophthalmologist-based screening.改善非洲的糖尿病视网膜病变筛查:患者对远程眼科筛查与基于眼科医生的筛查的满意度。
Middle East Afr J Ophthalmol. 2013 Jan-Mar;20(1):56-60. doi: 10.4103/0974-9233.106388.
2
Prevention of diabetes in rural India with a telemedicine intervention.通过远程医疗干预预防印度农村地区的糖尿病。
J Diabetes Sci Technol. 2012 Nov 1;6(6):1355-64. doi: 10.1177/193229681200600614.
3
The cost-utility of telemedicine to screen for diabetic retinopathy in India.印度利用远程医疗筛查糖尿病性视网膜病变的成本效用。
Ophthalmology. 2013 Mar;120(3):566-573. doi: 10.1016/j.ophtha.2012.09.002. Epub 2012 Dec 1.
4
Accuracy of diabetic retinopathy screening by trained non-physician graders using non-mydriatic fundus camera.经培训的非医师阅片员使用免散瞳眼底相机进行糖尿病视网膜病变筛查的准确性。
Singapore Med J. 2012 Nov;53(11):715-9.
5
Standards of medical care in diabetes--2010.《糖尿病医疗护理标准——2010》
Diabetes Care. 2010 Jan;33 Suppl 1(Suppl 1):S11-61. doi: 10.2337/dc10-S011.
6
A comparative cost analysis of digital fundus imaging and direct fundus examination for assessment of diabetic retinopathy.用于评估糖尿病视网膜病变的数字眼底成像与直接眼底检查的成本比较分析。
Telemed J E Health. 2008 Nov;14(9):912-8. doi: 10.1089/tmj.2008.0013.
7
Teleophthalmology screening for diabetic retinopathy through mobile imaging units within Canada.通过加拿大境内的移动成像设备进行糖尿病视网膜病变的远程眼科筛查。
Can J Ophthalmol. 2008 Dec;43(6):658-68. doi: 10.3129/i08-120.
8
Standards of medical care in diabetes--2008.2008年糖尿病医疗护理标准
Diabetes Care. 2008 Jan;31 Suppl 1:S12-54. doi: 10.2337/dc08-S012.
9
The sensitivity and specificity of nonmydriatic digital stereoscopic retinal imaging in detecting diabetic retinopathy: response to Ahmed et al.
Diabetes Care. 2007 May;30(5):e47. doi: 10.2337/dc07-0052.
10
Benefits of stereopsis when identifying clinically significant macular edema via teleophthalmology.通过远程眼科识别具有临床意义的黄斑水肿时立体视觉的益处。
Can J Ophthalmol. 2006 Dec;41(6):727-32. doi: 10.3129/i06-066.

糖尿病视网膜病变中的远程眼科

Teleophthalmology in Diabetic Retinopathy.

作者信息

Surendran Thandalam Sundararajan, Raman Rajiv

机构信息

Department of Pediatric Ophthalmology, Sankara Nethralaya, Vision Research Foundation, Chennai, India

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Vision Research Foundation, Chennai, India.

出版信息

J Diabetes Sci Technol. 2014 Mar;8(2):262-266. doi: 10.1177/1932296814522806. Epub 2014 Mar 17.

DOI:10.1177/1932296814522806
PMID:24876576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4455409/
Abstract

Over the past decade, there have been rapid strides in progress in the fields of telecommunication and medical imaging. There is growing evidence regarding use of teleophthalmology for screening of diabetic retinopathy. This article highlights some pertinent questions regarding use of telescreening for diabetic retinopathy. It deals with evidence regarding accuracy of diagnosis, patients satisfaction and cost-effectiveness. The American Telemedicine Association have given certain guidelines for teleheath practices for diabetic retinopathy. The article discusses regarding these guidelines. Finally, a working model for diabetic retinopathy screening through teleophthalmology has been described. Telescreening for diabetic retinopathy seems to be a cost-effective, accurate, and reliable method for screening for diabetic retinopathy. The American Telemedicine Association has set up guidelines for telescreening that should be adhered to provide quality screening services to people with diabetes.

摘要

在过去十年中,电信和医学成像领域取得了迅速进展。越来越多的证据表明可利用远程眼科来筛查糖尿病视网膜病变。本文重点介绍了一些有关利用远程筛查糖尿病视网膜病变的相关问题。它涉及诊断准确性、患者满意度和成本效益方面的证据。美国远程医疗协会针对糖尿病视网膜病变的远程医疗实践给出了某些指导方针。本文讨论了这些指导方针。最后,描述了一种通过远程眼科进行糖尿病视网膜病变筛查的工作模式。糖尿病视网膜病变的远程筛查似乎是一种具有成本效益、准确且可靠的糖尿病视网膜病变筛查方法。美国远程医疗协会已经制定了远程筛查的指导方针,应予以遵循,以便为糖尿病患者提供高质量的筛查服务。