Department of Ophthalmology, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
Eur Rev Med Pharmacol Sci. 2023 Jan;27(2):620-627. doi: 10.26355/eurrev_202301_31063.
The aim of this study was to evaluate the ocular health of care-center residents with disabilities who have difficulty accessing health care using a novel smartphone-adapted fundus camera device, and to compare the results to age- and gender-matched health subjects.
In this study, 47 care-center residents with disabilities were investigated between October 1, 2021, and December 31, 2021. A control group was made up of healthy volunteers. All participants underwent a comprehensive ocular exam, which included measuring visual acuity and assessing dry eye with Schirmer and tear break-up time tests. The posterior segment was examined using a smartphone-adapted fundus camera. The data gathered was compared with statistical significance between the two groups.
The mean ages of disabled and healthy participants were 59.7±15.2 and 56.6±15.0 years, respectively (p=0.305). While 11.1% of the 36 visually impaired participants were legally blind, the percentage among healthy subjects was only 3.7% (p=0.168). In comparison to healthy participants, disabled people had statistically significantly higher rates of dry eye (27.7%), senile macular degeneration (23.4%), and cataracts (29.8%) (p<0.05).
Screening for ocular health with a novel smartphone-adapted fundus camera revealed significantly higher rates of various ocular diseases in care center disabled residents. Given technological progress, remote control method-assisted ocular exams appear to be potentially feasible and clinically beneficial. This could allow trained allied health personnel to perform ocular health screenings without the need to transport a disabled person to the hospital. Thus, diagnosis and follow-up of various chronic ocular diseases may be properly organized.
本研究旨在评估使用新型智能手机适配眼底相机为有视力障碍且难以获得医疗服务的护理中心居民进行眼部健康检查的结果，并与年龄和性别匹配的健康受试者进行比较。
本研究纳入了 2021 年 10 月 1 日至 12 月 31 日期间的 47 名护理中心视力障碍居民。对照组由健康志愿者组成。所有参与者均接受了全面的眼科检查，包括视力测量和干眼病的评估，包括 Schirmer 试验和泪膜破裂时间试验。使用智能手机适配眼底相机检查后节。将两组之间的统计数据进行了比较。
残疾组和健康组的平均年龄分别为 59.7±15.2 岁和 56.6±15.0 岁（p=0.305）。在 36 名视力受损者中，有 11.1%的人是法定盲人，而健康受试者中的这一比例仅为 3.7%（p=0.168）。与健康受试者相比，残疾患者的干眼病（27.7%）、老年性黄斑变性（23.4%）和白内障（29.8%）的发生率明显更高（p<0.05）。
使用新型智能手机适配眼底相机进行眼部健康筛查，发现护理中心残疾居民中各种眼部疾病的发生率明显更高。鉴于技术进步，远程控制方法辅助的眼部检查似乎具有潜在的可行性和临床益处。这可以使经过培训的辅助医疗人员无需将残疾人送往医院即可进行眼部健康筛查。因此，可以合理地组织各种慢性眼病的诊断和随访。
