Detecting Common Eye Diseases Using the First Teleophthalmology GlobeChek Kiosk in the United States: A Pilot Study.
Detecting Common Eye Diseases Using the First Teleophthalmology GlobeChek Kiosk in the United States: A Pilot Study.
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DOI：
10.1097/apo.0000000000000295
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发表时间：
2020-07
影响因子：
4.4
通讯作者：
R. Kapoor;Cansu Yuksel-Elgin;Vipul Patel;Jennifer Alcantara-Castillo;Maya Ramachandran;K. Ali;Rahm Alshamah;Deborah Popplewell;Emery C. Jamerson;Cecile Truong;J. Sparrow;W. Mallon;Adam M. Katz;L. Al-Aswad
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作者：
R. Kapoor;Cansu Yuksel-Elgin;Vipul Patel;Jennifer Alcantara-Castillo;Maya Ramachandran;K. Ali;Rahm Alshamah;Deborah Popplewell;Emery C. Jamerson;Cecile Truong;J. Sparrow;W. Mallon;Adam M. Katz;L. Al-Aswad
本研究的目的是评估远程眼科GlobeChek亭在社区项目中的效益和可行性。设计：单中心、非随机、横断面、远程眼科研究。方法参与者接受综合评估，包括问卷调查表，简短的系统评估，筛选视野（VF）和GlobeChek kiosk筛选，其中包括但不限于眼压，角膜厚度测量，前段光学相干断层扫描，后段光学相干断层扫描和非散瞳眼底照相。结果通过存储转发机制进行评估，并通过电话获得随访问卷。结果在4个月内共筛选出326名参与者。133名（40.79%）参与者的任何一只眼睛都有1种疾病，47名（14.41%）患有>1种疾病。青光眼70例（21.47%），窄角型37例（11.34%），糖尿病视网膜病变6例（1.84%），黄斑变性4例（1.22%），其他眼病43例（13.10%）。年龄>65岁、高血压、糖尿病史、未进行牙科检查>5年、血红蛋白A1c测量值≥5.6、predibates风险评分≥9、2期高血压和低血压被认为是显著的危险因素。至于眼部参数，除了中央角膜厚度，包括眼内压>21 mm Hg、垂直杯盘比>0.7、视野异常和视网膜神经纤维层变薄外，其他所有参数都被发现是显著的。结论GlobeChek kiosk在增加获得护理和识别最常见的致盲原因及其风险因素方面是可行和有效的。
PURPOSE The aim of this study was to assess the benefit and feasibility of the teleophthalmology GlobeChek kiosk in a community-based program. DESIGN Single-site, nonrandomized, cross-sectional, teleophthalmologic study. METHODS Participants underwent comprehensive evaluation that consists of a questionnaire form, brief systemic evaluation, screening visual field (VF), and GlobeChek kiosk screening, which included but not limited to intraocular pressure, pachymetry, anterior segment optical coherence tomography, posterior segment optical coherence tomography, and nonmydriatic fundus photography. The results were evaluated by a store-and-forward mechanism and follow-up questionnaires were obtained through phone calls. RESULTS A total of 326 participatents were screened over 4 months. One hundred thirty-three (40.79%) participants had 1 condition in either eye, and 47 (14.41%) had >1 disease. Seventy (21.47%) had glaucoma, 37 (11.34%) narrow-angles, 6 (1.84%) diabetic retinopathy, 4 (1.22%) macular degeneration, and 43 (13.10%) had other eye disease findings. Age >65, history of high blood pressure, diabetes mellitus, not having a dental examination >5 years, hemoglobn A1c measurement of ≥5.6, predibates risk score of ≥9, stage 2 hypertension, and low blood pressure were found to be significant risk factors. As for the ocular parameters, all but central corneal thickness, including an intraocular pressure >21 mm Hg, vertical cup to disc ratio >0.7, visual field abnormalities, and retinal nerve fiber layer thinning were found to be significant. CONCLUSIONS GlobeChek kiosk is both workable and effective in increasing access to care and identifying the most common causes of blindness and their risk factors.