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[COVID-19 时期眼科的远程医疗应用]

[Telemedical applications in ophthalmology in times of COVID-19].

作者信息

Choritz Lars, Hoffmann Michael, Thieme Hagen

机构信息

Universitätsaugenklinik, Magdeburg, Deutschland.

Medizinische Fakultät, Otto-von-Guericke Universität, Universitätsaugenklinik, Leipziger Str. 44, 39120, Magdeburg, Deutschland.

出版信息

Ophthalmologe. 2021 Sep;118(9):885-892. doi: 10.1007/s00347-021-01470-w. Epub 2021 Aug 18.

DOI:10.1007/s00347-021-01470-w
PMID:34406461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8371418/
Abstract

BACKGROUND

During the coronavirus disease 2019 (COVID-19) pandemic access to and utilization of ophthalmologic healthcare providers was partially restricted.

OBJECTIVE

This article provides an overview of already available tele-ophthalmologic applications for better care during the pandemic as well as those still under development.

MATERIAL AND METHODS

The study included an analysis of current scientific publications, analysis of unrestricted screening applications in smart device app stores as well as telemetric medical products specifically designed for home monitoring and discussion of the requirements of an integrated ophthalmologic video consultation.

RESULTS

There is significant interest in tele-ophthalmologic applications and devices as evidenced by a rise in the number of relevant publications. Freely available screening tests for smart phones and tablets are as a rule currently not validated and show significant discrepancies from established standard tests. Telemetric medical devices show great potential for home monitoring in chronic ophthalmologic diseases but must first become established in the clinical routine.

CONCLUSION

There is an unmet need for systematic analysis, development and validation of telemedical applications and medical products for ophthalmology in order to advantageously utilize the potential of telemedicine and to incorporate this into an ophthalmologic video consultation.

摘要

背景

在2019冠状病毒病(COVID-19)大流行期间,眼科医疗服务提供者的可及性和利用率受到了部分限制。

目的

本文概述了在大流行期间已有的用于提供更好医疗服务的远程眼科应用以及仍在开发中的应用。

材料与方法

该研究包括对当前科学出版物的分析、对智能设备应用商店中不受限制的筛查应用以及专门为家庭监测设计的遥测医疗产品的分析,以及对综合眼科视频会诊要求的讨论。

结果

相关出版物数量的增加证明了对远程眼科应用和设备有浓厚兴趣。目前,智能手机和平板电脑上免费提供的筛查测试通常未经验证,与既定的标准测试存在显著差异。遥测医疗设备在慢性眼科疾病的家庭监测方面显示出巨大潜力,但首先必须在临床常规中得到确立。

结论

对于眼科远程医疗应用和医疗产品,存在系统分析、开发和验证方面未满足的需求,以便有利地利用远程医疗的潜力并将其纳入眼科视频会诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/d0f72aebdc3e/347_2021_1470_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/470f36f33b1a/347_2021_1470_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/b3538d7c5553/347_2021_1470_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/f603c59abaee/347_2021_1470_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/dcac8dadc690/347_2021_1470_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/d0f72aebdc3e/347_2021_1470_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/470f36f33b1a/347_2021_1470_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/b3538d7c5553/347_2021_1470_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/f603c59abaee/347_2021_1470_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/dcac8dadc690/347_2021_1470_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56dd/8371418/d0f72aebdc3e/347_2021_1470_Fig5_HTML.jpg

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本文引用的文献

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Intraocular Pressure Telemetry for Managing Glaucoma during the COVID-19 Pandemic.眼内压遥测在 COVID-19 大流行期间管理青光眼。
Ophthalmol Glaucoma. 2021 Sep-Oct;4(5):447-453. doi: 10.1016/j.ogla.2020.12.008. Epub 2021 Feb 4.
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Preliminary Report on a Novel Virtual Reality Perimeter Compared With Standard Automated Perimetry.新型虚拟现实视野计与标准自动视野计的初步报告。
J Glaucoma. 2021 Jan 1;30(1):17-23. doi: 10.1097/IJG.0000000000001670.
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Glaucoma Home Monitoring Using a Tablet-Based Visual Field Test (Eyecatcher): An Assessment of Accuracy and Adherence Over 6 Months.基于平板电脑的视野测试(Eyecatcher)进行青光眼家庭监测:6 个月内准确性和依从性的评估。
Am J Ophthalmol. 2021 Mar;223:42-52. doi: 10.1016/j.ajo.2020.08.039. Epub 2020 Sep 1.
5
Using an open-source tablet perimeter (Eyecatcher) as a rapid triage measure for glaucoma clinic waiting areas.使用开源的平板电脑周边设备(Eyecatcher)作为青光眼门诊候诊区的快速分诊措施。
Br J Ophthalmol. 2021 May;105(5):681-686. doi: 10.1136/bjophthalmol-2020-316018. Epub 2020 Aug 3.
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Implementing and Monitoring At-Home Virtual Reality Oculo-kinetic Perimetry During COVID-19.在新冠疫情期间实施并监测家庭虚拟现实眼动视野检查
Ophthalmology. 2020 Sep;127(9):1258. doi: 10.1016/j.ophtha.2020.06.017. Epub 2020 Jun 11.
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[Evaluation of patient satisfaction with an ophthalmology video consultation during the COVID-19 pandemic].[COVID-19大流行期间眼科视频会诊患者满意度评估]
Ophthalmologe. 2020 Jul;117(7):659-667. doi: 10.1007/s00347-020-01143-0.
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Autonomous early detection of eye disease in childhood photographs.儿童照片中眼病的自主早期检测。
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Am J Ophthalmol. 2020 Jan;209:187-196. doi: 10.1016/j.ajo.2019.09.011. Epub 2019 Sep 20.
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Odysight: A Mobile Medical Application Designed for Remote Monitoring-A Prospective Study Comparison with Standard Clinical Eye Tests.奥德赛视力:一款用于远程监测的移动医疗应用程序——与标准临床眼科检查的前瞻性研究比较
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