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市售手持式视网膜相机能否有效筛查糖尿病视网膜病变?

Can Commercially Available Handheld Retinal Cameras Effectively Screen Diabetic Retinopathy?

作者信息

Cuadros Jorge, Bresnick George

机构信息

1 Meredith Morgan Optometric Eye Center, University of California, Berkeley, Berkeley, CA, USA.

出版信息

J Diabetes Sci Technol. 2017 Jan;11(1):135-137. doi: 10.1177/1932296816682033. Epub 2016 Dec 18.

Abstract

Organizations that care for people with diabetes have increasingly adopted telemedicine-based diabetic retinopathy screening (TMDRS) as a way to increase adherence to recommended retinal exams. Recently, handheld retinal cameras have emerged as a low-cost, lightweight alternative to traditional bulky tabletop retinal cameras. Few published clinical trials have been performed on handheld retinal cameras. Peer-reviewed articles about commercially available handheld retinal cameras have concluded that they are a usable alternative for TMDRS, however, the clinical results presented in these articles do not meet criteria published by the United Kingdom Diabetic Eye Screening Programme and the American Academy of Ophthalmology. The future will likely remedy the shortcomings of currently available handheld retinal cameras, and will create more opportunities for preventing diabetic blindness.

摘要

关爱糖尿病患者的组织越来越多地采用基于远程医疗的糖尿病视网膜病变筛查(TMDRS),以此提高对推荐的视网膜检查的依从性。最近,手持式视网膜相机已成为传统笨重台式视网膜相机的低成本、轻便替代品。针对手持式视网膜相机开展的已发表临床试验很少。关于市售手持式视网膜相机的同行评审文章得出结论,它们是TMDRS的可用替代品,然而,这些文章中呈现的临床结果不符合英国糖尿病眼部筛查计划和美国眼科学会公布的标准。未来可能会弥补现有手持式视网膜相机的不足,并为预防糖尿病性失明创造更多机会。

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