Chee Ru-Ik, Darwish Dana, Fernandez-Vega Alvaro, Patel Samir, Jonas Karyn, Ostmo Susan, Campbell J Peter, Chiang Michael F, Chan Rv Paul
Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago.
Department of Ophthalmology, Wills Eye Hospital, Oregon Health & Science University, Portland, OR, United States.
Curr Ophthalmol Rep. 2018 Mar;6(1):36-45. doi: 10.1007/s40135-018-0161-8. Epub 2018 Jan 29.
An update and overview of the literature on current telemedicine applications in retina.
The application of telemedicine to the field of Ophthalmology and Retina has been growing with advancing technologies in ophthalmic imaging. Retinal telemedicine has been most commonly applied to diabetic retinopathy and retinopathy of prematurity in adult and pediatric patients respectively. Telemedicine has the potential to alleviate the growing demand for clinical evaluation of retinal diseases. Subsequently, automated image analysis and deep learning systems may facilitate efficient processing of large, increasing numbers of images generated in telemedicine systems. Telemedicine may additionally improve access to education and standardized training through tele-education systems.
Telemedicine has the potential to be utilized as a useful adjunct but not a complete replacement for physical clinical examinations. Retinal telemedicine programs should be carefully and appropriately integrated into current clinical systems.
对当前视网膜远程医疗应用的文献进行更新和概述。
随着眼科成像技术的进步，远程医疗在眼科和视网膜领域的应用不断增加。视网膜远程医疗最常用于成人糖尿病视网膜病变和儿童早产儿视网膜病变。远程医疗有可能缓解对视网膜疾病临床评估日益增长的需求。随后，自动图像分析和深度学习系统可能有助于高效处理远程医疗系统中产生的大量且不断增加的图像。远程医疗还可通过远程教育系统改善教育机会和标准化培训。
远程医疗有潜力作为一种有用的辅助手段，但不能完全替代体格检查。视网膜远程医疗项目应谨慎且适当地整合到当前临床系统中。
