Global Teleophthalmology With iPhones for Real-Time Slitlamp Eye Examination
Global Teleophthalmology With iPhones for Real-Time Slitlamp Eye Examination
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DOI：
10.1097/icl.0000000000000051
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发表时间：
2014-09-01
影响因子：
2.3
通讯作者：
Zhang, Huicheng
中科院分区：
文献类型：
--
作者：
Ye, Yufeng;Wang, Jianhua;Zhang, Huicheng
目的：方法：在中国浙江省杭州市，使用适用于裂隙灯生物显微镜的iPhone 4S对标准分辨率测试卡和两只人眼（一只眼睛戴隐形透镜）进行成像。iPhone 5被用作世界另一端（佛罗里达州迈阿密）的接收器。裂隙灯检查的实时图像和静态图像通过Skype从杭州传输到迈阿密。测量了在不同位置捕获并显示在两部手机上的实时分辨率。结果：实时图像和静态图像在两个城市之间传输，两个操作者之间的对话顺畅，没有任何困难。迈阿密的观察者能够指导杭州的操作者使用具有不同放大倍率设置和照明设置的裂隙灯显微镜彻底检查眼睛。在杭州，iPhone记录的静态图像的分辨率高于屏幕上的实时图像。眼睛的主要特征是可识别的real-time.Conclusions：该研究表明，全球远程眼科是可行的，使用两个智能手机。该系统是简单的，便携式的，和负担得起的，在静态和实时图像的图像质量是可以接受的实时远程眼科。
Purpose: To evaluate the image resolutions in global teleophthalmology using 2 smartphones.Methods: A standard resolution test card and two human eyes (one eye wearing a contact lens) were imaged with an iPhone 4S adapted for slitlamp biomicroscopy in Hangzhou, Zhejiang, China. An iPhone 5 was used as a receptor on the other side of the world (Miami, FL). The real-time images and still images were transferred through Skype from Hangzhou to Miami during slitlamp eye examination. The real-time resolutions captured and displayed on the both phones at different places were measured. There was vocal communication concurrent between two parties during image transference and the examination by the slitlamp biomicroscopy performed in Hangzhou.Results: The real-time and still images were transferred between two cities while two operators talked with each other smoothly and without difficulty. The viewer in Miami was able to instruct the operator in Hangzhou to thoroughly examine the eye using the slitlamp microscopy with different magnification settings and illumination settings. The resolution of the still images recorded in the iPhone in Hangzhou was higher than that of the real-time images on the screen. The main features of the eye were recognizable in real-time.Conclusions: The study demonstrated that global teleophthalmology is feasible using two smartphones. The system is simple, portable, and affordable, and the image quality in still and real-time images is acceptable for real-time teleophthalmology.