Ahmad Tessnim R, Martinez Meghan C, Tahir Sameea, Nyong'o Omondi L
Department of Ophthalmology, University of California San Francisco, San Francisco, California.
Center for Health Systems Research and Palo Alto MediCal Foundation Research Institute, Sutter Health, Palo Alto, California.
J Binocul Vis Ocul Motil. 2022 Apr-Jun;72(2):69-76. Epub 2022 Feb 1.
To evaluate the acceptability of a novel occlusion dose monitor (ODM) for glasses wearers with amblyopia. The novel ODM consists of a patch worn over the glasses, a logger affixed to the glasses frame, and a system that processes the logged data for interpretation by an algorithm.
In this pilot study, pediatric amblyopes (ages 2-8) were recruited for a cosmesis test of a sham logger for a 1-week period. Patients were then recruited to test a functional ODM for a 2-week period and their parents were asked to document patch wear in a diary. Feedback was solicited using a modified Pediatric Eye Disease Investigator Group (PEDIG) Amblyopia Treatment Index (ATI).
Five children tested the sham logger and eight children tested the functional ODM. Early feedback recommended esthetic modifications including the use of colored shrink wrap to affix the logger to the glasses' frame. The modified patch did not reduce patients' willingness to wear the patch as compared to a standard patch. ODM-recorded wear correlated with diary-recorded wear. The specific timestamps for wear were identical for patients with good ODM-diary concordance.
The novel ODM is acceptable for parents and children and correlates with diary records of patch wear.
评估一种新型遮盖剂量监测仪（ODM）对弱视眼镜佩戴者的可接受性。这种新型ODM由佩戴在眼镜上的贴片、固定在眼镜框架上的记录仪以及一个处理记录数据以便通过算法进行解读的系统组成。
在这项初步研究中，招募了2至8岁的儿童弱视患者，对一个假记录仪进行为期1周的美观度测试。随后招募患者对功能性ODM进行为期2周的测试，并要求他们的父母在日记中记录贴片佩戴情况。使用改良的小儿眼病研究组（PEDIG）弱视治疗指数（ATI）征求反馈意见。
5名儿童测试了假记录仪，8名儿童测试了功能性ODM。早期反馈建议进行美观度改进，包括使用彩色收缩包装将记录仪固定在眼镜框架上。与标准贴片相比，改良后的贴片并未降低患者佩戴贴片的意愿。ODM记录的佩戴情况与日记记录的佩戴情况相关。对于ODM与日记记录一致性良好的患者，佩戴的具体时间戳是相同的。
这种新型ODM对父母和儿童来说是可接受的，并且与贴片佩戴的日记记录相关。
