Department of Ophthalmology, Shimane University Faculty of Medicine, 89-1 Enya-Cho, Izumo, Japan.
Hara Eye Hospital, Utsunomiya, Japan.
BMC Ophthalmol. 2023 Feb 1;23(1):45. doi: 10.1186/s12886-023-02800-z.
Visual field (VF) testing in combination with a specialized VF analysis software is critical for characterizing and monitoring visual loss in glaucoma. Although performing glaucoma progression analysis requires original VF data rather than printouts or image files, extent of VF data transfer between referring and referred ophthalmologists is unclear. Here, we surveyed glaucoma specialists who belong to the Japan Glaucoma Society (JGS).
An internet survey of daily practice patterns regarding electronic VF data transfer at the time of glaucoma referrals (referring/referred) was sent to all 50 JGS board members. The survey consisted with 11 questionnaires, and the response rate was 100%.
The respondents included 33 university hospital ophthalmologists (66%) (Q1), and those scattered throughout Japan (Q2). All respondents used Humphrey Visual Filed Analyzer (HFA) (Q3) and at least one of a VF progression analysis software (Q4). Ten respondents (20%) actively transferred electronic VF data, while 40 (80%) did not (Q5). The major reasons for not actively transferring data electronically were that there was no support for data transfer by neighboring (n = 26, 65%) and/or own (25, 63%) institutes (Q6). All 40 inactive respondents responded that electronic data transfer is ideal (Q7). All 10 active respondents transferred data using USB flash memory (Q8). Of the 10 active respondents, seven (70%) reported that the percentage of referral letters accompanying electronic VF data in a format that allows for progression analysis from the beginning was less than 25% (Q9). When the referral letters did not accompany the electronic VF data, four (40%) reported that they further requested the data transfer in < 25% of cases (Q10). When the 10 active respondents were requested to transfer data, six (60%) had experienced rejection due to various reasons (Q11).
An internet survey showed that 80% of the JGS board members were not actively transferring VF data mainly because of the absence of a system in place at institutions for sending and receiving data, although they feel that the electronic VF data transfer is ideal. The results provide basic data for future discussions on the promotion of the VF data transfer.
视野 (VF) 测试结合专门的 VF 分析软件对于描述和监测青光眼的视力丧失至关重要。虽然进行青光眼进展分析需要原始 VF 数据而不是打印件或图像文件，但在转诊和转介眼科医生之间 VF 数据传输的程度尚不清楚。在这里，我们调查了隶属于日本青光眼学会 (JGS) 的青光眼专家。
我们向所有 50 名 JGS 董事会成员发送了一份关于青光眼转诊时电子 VF 数据传输（转诊/转介）日常实践模式的互联网调查。该调查由 11 份问卷组成，应答率为 100%。
受访者包括 33 名大学医院眼科医生（66%）（问题 1）和分布在日本各地的眼科医生（问题 2）。所有受访者均使用 Humphrey 视野分析仪 (HFA)（问题 3）和至少一种 VF 进展分析软件（问题 4）。10 名受访者（20%）积极传输电子 VF 数据，而 40 名受访者（80%）则没有（问题 5）。不积极电子传输数据的主要原因是附近（n=26，65%）和/或自己的机构（25，63%）不支持数据传输（问题 6）。所有 40 名不活跃的受访者都表示电子数据传输是理想的（问题 7）。10 名活跃的受访者都使用 USB 闪存（问题 8）传输数据。在 10 名活跃的受访者中，有 7 名（70%）表示，从一开始就可以进行进展分析的电子 VF 数据格式的转诊信中，附有电子 VF 数据的比例小于 25%（问题 9）。当转诊信不附有电子 VF 数据时，有 4 名（40%）表示他们在小于 25%的情况下进一步要求数据传输（问题 10）。当要求 10 名活跃的受访者传输数据时，有 6 名（60%）因各种原因遭到拒绝（问题 11）。
一项互联网调查显示，80%的 JGS 董事会成员没有积极传输 VF 数据，主要是因为机构内缺乏发送和接收数据的系统，尽管他们认为电子 VF 数据传输是理想的。该结果为未来关于促进 VF 数据传输的讨论提供了基本数据。
