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智能手机应用程序 DryEyeRhythm 测量最大眨眼间隔在支持干眼病诊断中的临床效用。

Clinical utility of maximum blink interval measured by smartphone application DryEyeRhythm to support dry eye disease diagnosis.

机构信息

Department of Ophthalmology, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Department of Digital Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.

出版信息

Sci Rep. 2023 Aug 21;13(1):13583. doi: 10.1038/s41598-023-40968-y.


DOI:10.1038/s41598-023-40968-y
PMID:37604900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10442434/
Abstract

The coronavirus disease (COVID-19) pandemic has emphasized the paucity of non-contact and non-invasive methods for the objective evaluation of dry eye disease (DED). However, robust evidence to support the implementation of mHealth- and app-based biometrics for clinical use is lacking. This study aimed to evaluate the reliability and validity of app-based maximum blink interval (MBI) measurements using DryEyeRhythm and equivalent traditional techniques in providing an accessible and convenient diagnosis. In this single-center, prospective, cross-sectional, observational study, 83 participants, including 57 with DED, had measurements recorded including slit-lamp-based, app-based, and visually confirmed MBI. Internal consistency and reliability were assessed using Cronbach's alpha and intraclass correlation coefficients. Discriminant and concurrent validity were assessed by comparing the MBIs from the DED and non-DED groups and Pearson's tests for each platform pair. Bland-Altman analysis was performed to assess the agreement between platforms. App-based MBI showed good Cronbach's alpha coefficient, intraclass correlation coefficient, and Pearson correlation coefficient values, compared with visually confirmed MBI. The DED group had significantly shorter app-based MBIs, compared with the non-DED group. Bland-Altman analysis revealed minimal biases between the app-based and visually confirmed MBIs. Our findings indicate that DryEyeRhythm is a reliable and valid tool that can be used for non-invasive and non-contact collection of MBI measurements, which can assist in accessible DED detection and management.

摘要

新型冠状病毒(COVID-19)大流行凸显了缺乏用于客观评估干眼症(DED)的非接触式和非侵入性方法。然而,缺乏支持将移动健康和基于应用程序的生物计量学应用于临床的有力证据。本研究旨在评估使用 DryEyeRhythm 和等效传统技术的基于应用程序的最大眨眼间隔(MBI)测量的可靠性和有效性,以提供易于获得和方便的诊断。在这项单中心、前瞻性、横断面、观察性研究中,83 名参与者,包括 57 名患有 DED,记录了包括裂隙灯检查、基于应用程序和视觉确认 MBI 的测量值。使用 Cronbach's alpha 和组内相关系数评估内部一致性和可靠性。通过比较 DED 和非 DED 组的 MBI 以及每个平台对的 Pearson 检验评估判别和同时效性。使用 Bland-Altman 分析评估平台之间的一致性。与视觉确认 MBI 相比,基于应用程序的 MBI 具有良好的 Cronbach's alpha 系数、组内相关系数和 Pearson 相关系数值。DED 组的基于应用程序的 MBI 明显短于非 DED 组。Bland-Altman 分析显示基于应用程序和视觉确认的 MBI 之间的偏差最小。我们的研究结果表明,DryEyeRhythm 是一种可靠且有效的工具,可用于非侵入性和非接触式 MBI 测量,这有助于进行可及性 DED 检测和管理。

相似文献

[1]
Clinical utility of maximum blink interval measured by smartphone application DryEyeRhythm to support dry eye disease diagnosis.

Sci Rep. 2023-8-21

[2]
DryEyeRhythm: A reliable and valid smartphone application for the diagnosis assistance of dry eye.

Ocul Surf. 2022-7

[3]
Smartphone App-Based and Paper-Based Patient-Reported Outcomes Using a Disease-Specific Questionnaire for Dry Eye Disease: Randomized Crossover Equivalence Study.

J Med Internet Res. 2023-8-3

[4]
Diagnostic Ability of a Smartphone App for Dry Eye Disease: Protocol for a Multicenter, Open-Label, Prospective, and Cross-sectional Study.

JMIR Res Protoc. 2023-3-13

[5]
Assessing the Risk Factors For Diagnosed Symptomatic Dry Eye Using a Smartphone App: Cross-sectional Study.

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[6]
Reliability and validity of the Japanese version of the Ocular Surface Disease Index for dry eye disease.

BMJ Open. 2019-11-25

[7]
Diagnostic ability of maximum blink interval together with Japanese version of Ocular Surface Disease Index score for dry eye disease.

Sci Rep. 2020-10-22

[8]
Stratification of Individual Symptoms of Contact Lens-Associated Dry Eye Using the iPhone App DryEyeRhythm: Crowdsourced Cross-Sectional Study.

J Med Internet Res. 2020-6-26

[9]
Reliability, validity, and responsiveness of the Thai version of the Dry Eye-Related Quality-of-Life Score questionnaire.

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[10]
Maximum blink interval is associated with tear film breakup time: A new simple, screening test for dry eye disease.

Sci Rep. 2018-9-7

引用本文的文献

[1]
Diagnostic methods for managing dry eyes.

World J Methodol. 2025-12-20

[2]
Integration of Digital Phenotyping and Genomics for Dry Eye Disease: Protocol for a Prospective Cohort Study.

JMIR Res Protoc. 2025-5-12

[3]
Design and Usability Study of a Point of Care mHealth App for Early Dry Eye Screening and Detection.

J Clin Med. 2023-10-12

本文引用的文献

[1]
Smartphone App-Based and Paper-Based Patient-Reported Outcomes Using a Disease-Specific Questionnaire for Dry Eye Disease: Randomized Crossover Equivalence Study.

J Med Internet Res. 2023-8-3

[2]
TFOS Lifestyle: Impact of the digital environment on the ocular surface.

Ocul Surf. 2023-4

[3]
Symptom-based stratification algorithm for heterogeneous symptoms of dry eye disease: a feasibility study.

Eye (Lond). 2023-11

[4]
Diagnostic Ability of a Smartphone App for Dry Eye Disease: Protocol for a Multicenter, Open-Label, Prospective, and Cross-sectional Study.

JMIR Res Protoc. 2023-3-13

[5]
Repeatability, reproducibility and agreement between three different diagnostic imaging platforms for tear film evaluation of normal and dry eye disease.

Eye (Lond). 2023-7

[6]
DryEyeRhythm: A reliable and valid smartphone application for the diagnosis assistance of dry eye.

Ocul Surf. 2022-7

[7]
Individual characteristics and associated factors of hay fever: A large-scale mHealth study using AllerSearch.

Allergol Int. 2022-7

[8]
International Trend of Non-Contact Healthcare and Related Changes Due to COVID-19 Pandemic.

Yonsei Med J. 2022-1

[9]
Smartphone-based digital phenotyping for dry eye toward P4 medicine: a crowdsourced cross-sectional study.

NPJ Digit Med. 2021-12-20

[10]
Screening Evaporative Dry Eyes Severity Using an Infrared Image.

J Ophthalmol. 2021-8-24

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