神经眼科学的远程医疗：挑战与机遇。
Telemedicine for neuro-ophthalmology: challenges and opportunities.
机构信息
UC Davis Eye Center, Department of Ophthalmology & Vision Science, University of California, Davis, Sacramento, California.
Departments of Neurology, Ophthalmology, and Neurological Surgery, Indiana University, Indianapolis, Indiana.
出版信息
Curr Opin Neurol. 2021 Feb 1;34(1):61-66. doi: 10.1097/WCO.0000000000000880.
PURPOSE OF REVIEW
Telemedicine for neuro-ophthalmology (tele-neuro-ophthalmology) has the potential to increase access to neuro-ophthalmic care by improving efficiency and decreasing the need for long-distance travel for patients. Requirements for decreased person-to-person contacts during the COVID-19 pandemic accelerated adoption of tele-neuro-ophthalmology. This review highlights the challenges and opportunities with tele-neuro-ophthalmology.
RECENT FINDINGS
Tele-neuro-ophthalmology programs can be used for triage, diagnostic consultation, and long-term treatment monitoring. Formats include telephone appointments, interprofessional collaborations, remote data interpretation, online asynchronous patient communication, and video visits. Barriers to long-term implementation of tele-neuro-ophthalmology arise from data quality, patient engagement, workflow integration, state and federal regulations, and reimbursement. General neurologists may collaborate with local eye care providers for ophthalmic examination, imaging, and testing to facilitate efficient and effective tele-neuro-ophthalmology consultation.
SUMMARY
Tele-neuro-ophthalmology has tremendous potential to improve patient access to high-quality cost-effective neuro-ophthalmic care. However, many factors may impact its long-term sustainability.
目的综述
神经眼科的远程医疗（远程神经眼科）有增加神经眼科护理的机会，通过提高效率和减少患者长途旅行的需要。在 COVID-19 大流行期间减少人与人之间接触的要求加速了远程神经眼科的采用。本综述强调了远程神经眼科的挑战和机遇。
最近的发现
远程神经眼科计划可用于分诊、诊断咨询和长期治疗监测。形式包括电话预约、跨专业合作、远程数据解释、在线异步患者沟通和视频访问。远程神经眼科长期实施的障碍来自数据质量、患者参与、工作流程整合、州和联邦法规以及报销。一般神经科医生可以与当地的眼科护理提供者合作，进行眼科检查、成像和测试，以促进高效和有效的远程神经眼科咨询。
总结
远程神经眼科有很大的潜力提高患者获得高质量、具有成本效益的神经眼科护理的机会。然而，许多因素可能会影响其长期可持续性。
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