Zhang Sydney, Echegoyen Julio
Department of Clinical Research, Westview Eye Institute, San Diego, CA 92129, USA.
J Clin Med. 2023 Oct 12;12(20):6479. doi: 10.3390/jcm12206479.
Significantly increased eye blink rate and partial blinks have been well documented in patients with dry eye disease (DED), a multifactorial eye disorder with few effective methods for clinical diagnosis. In this study, a point of care mHealth App named "EyeScore" was developed, utilizing blink rate and patterns as early clinical biomarkers for DED. EyeScore utilizes an iPhone for a 1-min in-app recording of eyelid movements. The use of facial landmarks, eye aspect ratio (EAR) and derivatives enabled a comprehensive analysis of video frames for the determination of eye blink rate and partial blink counts. Smartphone videos from ten DED patients and ten non-DED controls were analyzed to optimize EAR-based thresholds, with eye blink and partial blink results in excellent agreement with manual counts. Importantly, a clinically relevant algorithm for the calculation of "eye healthiness score" was created, which took into consideration eye blink rate, partial blink counts as well as other demographic and clinical risk factors for DED. This 10-point score can be conveniently measured anytime with non-invasive manners and successfully led to the identification of three individuals with DED conditions from ten non-DED controls. Thus, EyeScore can be validated as a valuable mHealth App for early DED screening, detection and treatment monitoring.
干眼症(DED)患者眨眼率显著增加以及出现部分眨眼现象已有充分记录,干眼症是一种多因素眼部疾病,临床诊断的有效方法较少。在本研究中,开发了一款名为“EyeScore”的即时医疗移动健康应用程序,将眨眼率和模式作为干眼症的早期临床生物标志物。EyeScore利用iPhone在应用程序内进行1分钟的眼睑运动记录。通过使用面部标志、眼宽高比(EAR)及其导数,能够对视频帧进行全面分析,以确定眨眼率和部分眨眼次数。分析了十名干眼症患者和十名非干眼症对照者的智能手机视频,以优化基于EAR的阈值,眨眼和部分眨眼结果与人工计数结果高度一致。重要的是,创建了一种用于计算“眼部健康评分”的临床相关算法,该算法考虑了眨眼率、部分眨眼次数以及其他干眼症的人口统计学和临床风险因素。这个10分制评分可以通过非侵入性方式在任何时候方便地测量,并成功地从十名非干眼症对照者中识别出三名患有干眼症的个体。因此,EyeScore可被验证为一款用于早期干眼症筛查、检测和治疗监测的有价值的移动健康应用程序。
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