Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore, Singapore.
Eye (Lond). 2023 Oct;37(15):3084-3096. doi: 10.1038/s41433-023-02472-5. Epub 2023 Mar 14.
In the current literature, clinical registry cohorts related to ocular inflammation are few and far between, and there are none involving multi-continental international data. Many existing registries comprise administrative databases, data related to specific uveitic diseases, or are designed to address a particular clinical problem. The existing data, although useful and serving their intended purposes, are segmented and may not be sufficiently robust to design prognostication tools or draw epidemiological conclusions in the field of uveitis and ocular inflammation. To solve this, we have developed the Ocular Autoimmune Systemic Inflammatory Infectious Study (OASIS) Clinical Registry. OASIS collects prospective and retrospective data on patients with all types of ocular inflammatory conditions from centers all around the world. It is a primarily web-based platform with alternative offline modes of access. A comprehensive set of clinical data ranging from demographics, past medical history, clinical presentation, working diagnosis to visual outcomes are collected over a range of time points. Additionally, clinical images such as optical coherence tomography, fundus fluorescein angiography and indocyanine green angiography studies may be uploaded. Through the capturing of diverse, well-structured, and clinically meaningful data in a simplified and consistent fashion, OASIS will deliver a comprehensive and well organized data set ripe for data analysis. The applications of the registry are numerous, and include performing epidemiological analysis, monitoring drug side effects, and studying treatment safety efficacy. Furthermore, the data compiled in OASIS will be used to develop new classification and diagnostic systems, as well as treatment and prognostication guidelines for uveitis.
在当前的文献中,与眼部炎症相关的临床注册队列很少,而且没有涉及多洲际国际数据的队列。许多现有的注册包含行政数据库、与特定葡萄膜炎疾病相关的数据,或旨在解决特定的临床问题。现有的数据虽然有用并达到了预期的目的,但它们是分割的,可能不足以设计预后工具或在葡萄膜炎和眼部炎症领域得出流行病学结论。为了解决这个问题,我们开发了眼部自身免疫性系统性炎症感染研究(OASIS)临床注册。OASIS 从世界各地的中心收集所有类型眼部炎症疾病患者的前瞻性和回顾性数据。它是一个主要基于网络的平台,也提供离线访问的替代方式。它收集了一系列的临床数据,包括人口统计学、既往病史、临床表现、工作诊断和视觉结果等,涵盖了多个时间点。此外,还可以上传临床图像,如光学相干断层扫描、眼底荧光血管造影和吲哚青绿血管造影研究。通过以简化和一致的方式捕获多样化、结构良好且具有临床意义的数据,OASIS 将提供一个全面且组织良好的数据集,适合进行数据分析。该注册的应用很多,包括进行流行病学分析、监测药物副作用以及研究治疗安全性和疗效。此外,OASIS 中汇编的数据将用于开发新的分类和诊断系统,以及制定葡萄膜炎的治疗和预后指南。