Charlesworth Jennifer M, Davidson Myriam A
School of Medicine, National University of Ireland, Galway, Ireland,
AM Charlesworth & Associates Science and Technology Consultants, Ottawa, ON, Canada,
Med Devices (Auckl). 2019 Jan 15;12:21-40. doi: 10.2147/MDER.S186529. eCollection 2019.
Emergency room physicians are frequently called upon to assess eye injuries and vision problems in the absence of specialized ophthalmologic equipment. Technological applications that can be used on mobile devices are only now becoming available.
To review the literature on the evidence of clinical effectiveness of smartphone applications for visual acuity assessment marketed by two providers (Google Play and iTunes).
The websites of two mobile technology vendors (iTunes and Google Play) in Canada and Ireland were searched on three separate occasions using the terms "eye", "ocular", "ophthalmology", "optometry", "vision", and "visual assessment" to determine what applications were currently available. Four medical databases (Cochrane, Embase, PubMed, Medline) were subsequently searched with the same terms AND mobile OR smart phone for papers in English published in years 2010-2017.
A total of 5,024 Canadian and 2,571 Irish applications were initially identified. After screening, 44 were retained. Twelve relevant articles were identified from the health literature. After screening, only one validation study referred to one of our identified applications, and this one only partially validated the application as being useful for clinical purposes.
Mobile device applications in their current state are not suitable for emergency room ophthalmologic assessment, because systematic validation is lacking.
在缺乏专业眼科设备的情况下，急诊室医生经常需要评估眼部损伤和视力问题。目前，可在移动设备上使用的技术应用才刚刚出现。
回顾关于两家供应商（谷歌应用商店和苹果应用商店）所售用于视力评估的智能手机应用临床有效性证据的文献。
在加拿大和爱尔兰，分别三次搜索两家移动技术供应商（苹果应用商店和谷歌应用商店）的网站，使用“眼睛”“眼部”“眼科”“验光”“视力”和“视觉评估”等术语，以确定当前可用的应用程序。随后，使用相同术语以及“移动”或“智能手机”，在四个医学数据库（考克兰、Embase、PubMed、Medline）中搜索2010 - 2017年发表的英文论文。
最初共识别出5024个加拿大应用程序和2571个爱尔兰应用程序。筛选后，保留了44个。从健康文献中识别出12篇相关文章。筛选后，只有一项验证研究提及了我们识别出的应用程序之一，且该研究仅部分验证了该应用程序对临床目的有用。
由于缺乏系统验证，当前状态下的移动设备应用不适合急诊室眼科评估。
