Measuring wearing times of glasses and ocular patches using a thermosensor device from orthodontics

Measuring wearing times of glasses and ocular patches using a thermosensor device from orthodontics
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DOI:
10.1111/aos.12171
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发表时间:
2013-12-01
影响因子:
3.4
通讯作者:
Schramm, Charlotte
Schramm, Charlotte
中科院分区:
医学3区
文献类型:
--
作者:
Januschowski, Kai;Bechtold, Till E.;Schramm, Charlotte

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目的:弱视是儿童最常见的视觉障碍之一。弱视患者的健康眼睛出现严重视力损害的风险增加一倍。如果及早发现,视力康复的机会很大。治疗包括屈光矫正和主视眼的遮盖。患者依从性是一个重要因素,可以使用热传感器进行监测。这是我们研究的目标,以证明的原则,眼镜和补丁的佩戴时间可以使用一个相对较小的和市售的microsensor.Methods测量:协议之间的佩戴时间协议的眼睛修补/屈光矫正和温度测量的温度传感器连接到补丁或眼镜的三个人进行了分析,使用Bland-Altman方法。它还分析了是否盲目的人可以区分温度曲线的补丁和眼镜,或温度曲线的保温箱或戴在pocket.Results:温度的微传感器拿起指示的开始和结束佩戴时间的眼镜或眼罩通过陡峭的温差和一个独特的温度曲线在测量过程中。尽管盲态测试人员能够清楚地区分培养箱/囊袋测量的温度曲线与眼镜/贴片测量的温度曲线,但仅50%的人能够正确地区分眼镜和贴片曲线。佩戴时间协议和温度测量之间的差异在Bland-Altman图所述的一致性范围内。结论:TheraMon(R)微传感器可以可靠地测量眼镜和眼罩的佩戴时间,而不会使佩戴者感到不舒服,尽管数据并非毫无疑问,特别是在较高的环境温度下。需要对更多具有不同穿着特征的个体进行进一步研究。
Purpose: Amblyopia is one of the most common visual disorders in children. The risk of severe visual impairment on the healthy eye is doubled in patients with amblyopia. If detected early enough, the chances of visual rehabilitation are good. Treatment consists of refractive correction and occlusion of the dominant eye. Patient compliance is an important factor and can be monitored using thermosensors. It was the goal of our study to give proof of the principle that the wearing times of glasses and patches can be measured using a comparatively small and commercially available microsensor.Methods: Agreement between wearing times protocols of ocular patching/refractive correction and temperature measurements of thermosensors attached to the patches or glasses of three individuals were analysed using the Bland-Altman method. It was also analysed whether blinded persons could distinguish between temperature curves of patches and glasses, or temperature curves of an incubator or while worn in a pocket.Results: The temperatures picked up by the microsensors indicate the beginning and the end wearing times of either glasses or ocular patches through steep temperature difference and a distinct temperature curve during measurements. Although blinded test persons were able to cleary distinguish between temperature profiles from incubator/pocket measurements compared to glasses/patching, glasses and patching curves could be discriminated correctly in only 50%. Differences between wearing time protocols and temperature measurements were within the limits of agreement as stated by the Bland-Altman plots.Conclusion: The TheraMon(R) microsensor can reliably measure wearing times of glasses and ocular patches without making the wearer uncomfortable, although the data are not unquestionable, especially in higher surrounding temperatures. Further studies on a larger number of individuals with different wearing profiles are needed.