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