Interdisciplinary Center for Preventive Medicine, Department of Ophthalmology, Friedrich-Alexander University, Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen, Germany.
European Prevention Center, Luise-Rainer-Straße 6-10, 40235, Düsseldorf, Germany.
Graefes Arch Clin Exp Ophthalmol. 2019 Nov;257(11):2571-2578. doi: 10.1007/s00417-019-04457-1. Epub 2019 Sep 5.
To avoid significant loss of vision in employees, the working population could be examined with ophthalmic methods as OCT and IOP measurement for detection of serious eye diseases. The value of "virtual eye clinics" in occupational preventive medicine has been previously shown. We used a telemedical approach to gather epidemiological information about prevalence of eye diseases such as glaucoma, ocular hypertension, hypertensive retinopathy, diabetic retinopathy, epiretinal membrane, AMD, adult vitelliform maculopathy, cystoid maculopathy, choroidal nevi, and macular drusen.
The study included 931 people ranging from age 39 to 65 years. Using a telemedical approach, all medical examinations and the ophthalmic examination were performed by a technician using an optical coherence tomography (SD-OCT) and a pulse air tonometer. The data were saved in the web-based patient chart MedStage® of the Talkingeyes® Collaboration Network.
We found a high prevalence of eye diseases in a group representative for the working-age population by telemedical examination. 13.47% of the workers examined showed ocular findings necessitating treatment or control by an ophthalmologist, including ocular hypertension (5.7%), hypertensive retinopathy with loss of temporal retinal nerve fiber thickness (2.3%), epiretinal membrane (1.07%), glaucoma (0.97%), age-related macular degeneration and adult vitelliform maculopathy (0.53%), and diabetic retinopathy (0.2%). Two of the examined persons presented ocular findings requiring urgent treatment to prevent serious vision loss.
Using a telemedical approach, we collected epidemiological information about prevalence of eye diseases in the working-age population. Virtual eye clinics in occupational preventive medicine are a useful method to improve sight and reduce vision loss of workers by reducing travel time and inconvenience associated with an in-person appointment with an ophthalmologist.
为避免员工视力严重受损，可采用眼部 OCT 和眼压测量等眼科方法对劳动人群进行检查，以发现严重眼病。“虚拟眼科诊所”在职业预防医学中的价值已得到证实。我们采用远程医疗方法，收集有关青光眼、高眼压症、高血压性视网膜病变、糖尿病性视网膜病变、视网膜内界膜、年龄相关性黄斑变性、成人型中心性浆液性脉络膜视网膜病变、囊样黄斑水肿、脉络膜痣和黄斑玻璃膜疣等眼部疾病的流行情况的流行病学信息。
该研究纳入了 931 名年龄在 39 至 65 岁之间的人群。通过远程医疗方法，由技术员使用光学相干断层扫描（SD-OCT）和脉冲空气眼压计进行所有医学检查和眼科检查。数据被保存在基于网络的 Talkingeyes®协作网络的 MedStage®患者图表中。
通过远程医疗检查，我们在具有代表性的劳动年龄段人群中发现了眼部疾病的高患病率。13.47%的受检工人出现了需要眼科医生治疗或控制的眼部异常，包括高眼压症（5.7%）、伴有颞侧视网膜神经纤维厚度丧失的高血压性视网膜病变（2.3%）、视网膜内界膜（1.07%）、青光眼（0.97%）、年龄相关性黄斑变性和成人型中心性浆液性脉络膜视网膜病变（0.53%）以及糖尿病性视网膜病变（0.2%）。两名受检者出现了需要紧急治疗以防止严重视力丧失的眼部异常。
通过远程医疗方法，我们收集了劳动年龄段人群眼部疾病流行情况的流行病学信息。虚拟眼科诊所是职业预防医学中一种有用的方法，可以通过减少与眼科医生预约相关的旅行时间和不便，提高工人的视力并减少视力丧失。
