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远程环境下基于远程医疗的眼化学伤诊断与管理:一例报告

Telemedicine-based diagnosis and management of ocular chemical injury in a remote setting: A case report.

作者信息

Shimizu Eisuke, Nishimura Hiroki, Khemlani Rohan Jeetendra, Nakayama Shintaro, Suzuki Keitaro, Sato Katsuya

机构信息

OUI Inc. Tokyo Japan.

Yokohama Keiai Eye Clinic Kanagawa Japan.

出版信息

J Gen Fam Med. 2025 Apr 18;26(4):359-362. doi: 10.1002/jgf2.70017. eCollection 2025 Jul.

Abstract

Ocular chemical injuries require immediate diagnosis and treatment, posing challenges in remote regions. We report a case of mild chemical injury caused by an alkali chemical injury, successfully diagnosed and managed using telemedicine. A primary care physician utilized a smartphone-based anterior segment imaging system (Smart Eye Camera), allowing an ophthalmologist to remotely evaluate and classify the injury as Roper-Hall grade. Conservative treatment with irrigation and topical medications led to symptom resolution within 1 week. This case highlights the effectiveness of teleophthalmology, suggesting its significant potential for improving ocular care accessibility and timely intervention in medically underserved rural areas.

摘要

眼部化学伤需要立即诊断和治疗,这在偏远地区构成了挑战。我们报告了一例由碱性化学伤导致的轻度化学伤病例,通过远程医疗成功进行了诊断和处理。一名初级保健医生使用了基于智能手机的眼前段成像系统(智能眼相机),使眼科医生能够远程评估并将损伤分类为罗珀 - 霍尔分级。通过冲洗和局部用药的保守治疗在1周内症状得到缓解。该病例突出了远程眼科的有效性,表明其在改善医疗服务不足的农村地区眼部护理可及性和及时干预方面具有巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dfb/12237814/3e6e328d6d5b/JGF2-26-359-g001.jpg

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