Real-Time Mobile Teleophthalmology for the Detection of Eye Disease in Minorities and Low Socioeconomics At-Risk Populations.
Real-Time Mobile Teleophthalmology for the Detection of Eye Disease in Minorities and Low Socioeconomics At-Risk Populations.
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实时移动远程眼科检查在少数民族和低社会经济高危人群中的眼病检测。
DOI：
10.1097/apo.0000000000000416
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发表时间：
2021-09-01
期刊：
影响因子：
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通讯作者：
Moazami G
中科院分区：
文献类型：
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作者：
Al-Aswad LA;Elgin CY;Patel V;Popplewell D;Gopal K;Gong D;Thomas Z;Joiner D;Chu CK;Walters S;Ramachandran M;Kapoor R;Rodriguez M;Alcantara-Castillo J;Maestre GE;Lee JH;Moazami G
研究纽约都会区用于检测眼部疾病的移动、实时、基于社区的远程眼科项目的好处和可行性。单中心、非随机、横断面、远程眼科研究。参与者在配备 Wi-Fi 的远程眼科移动设备中接受了全面评估。评估包括基本病史调查表、简短的系统评估和眼科评估，包括视野、眼压、厚度测量、眼前段光学相干断层扫描、后段光学相干断层扫描和免散瞳眼底摄影。实时评估结果，并安排后续电话填写二次调查表。计算了不同类型眼科转诊的风险因素。总共筛选了 957 名参与者。在 458 名 (48%) 被转诊的参与者中，305 名 (32%) 患有青光眼，136 名 (14%) 患有窄角眼，124 名 (13%) 患有白内障，29 名 (3%) 患有糖尿病视网膜病变，9 名 (1%) 患有黄斑变性，97 名 (10%) 患有其他眼病。眼科转诊的重要危险因素包括年龄较大、高血压病史、糖尿病、血红蛋白 Alc 测量值≥6.5 和 2 期高血压。至于眼部参数，除中央角膜厚度外，其他所有参数均显着升高，包括眼压>21 mm Hg、垂直杯盘比≥0.5、视野异常和视网膜神经纤维层变薄。移动实时远程眼科在增加获得护理的机会和识别最常见的失明原因及其风险因素方面既可行又有效。
To examine the benefits and feasibility of a mobile, real-time, community-based, teleophthalmology program for detecting eye diseases in the New York metro area. Single site, nonrandomized, cross-sectional, teleophthalmologic study. Participants underwent a comprehensive evaluation in a Wi-Fi–equipped teleophthalmology mobile unit. The evaluation consisted of a basic anamnesis with a questionnaire form, brief systemic evaluations and an ophthalmologic evaluation that included visual field, intraocular pressure, pachymetry, anterior segment optical coherence tomography, posterior segment optical coherence tomography, and nonmydriatic fundus photography. The results were evaluated in real-time and follow-up calls were scheduled to complete a secondary questionnaire form. Risk factors were calculated for different types of ophthalmological referrals. A total of 957 participants were screened. Out of 458 (48%) participants that have been referred, 305 (32%) had glaucoma, 136 (14%) had narrow-angle, 124 (13%) had cataract, 29 had (3%) diabetic retinopathy, 9 (1%) had macular degeneration, and 97 (10%) had other eye disease findings. Significant risk factors for ophthalmological referral consisted of older age, history of high blood pressure, diabetes mellitus, Hemoglobin Alc measurement of ≥6.5, and stage 2 hypertension. As for the ocular parameters, all but central corneal thickness were found to be significant, including having an intraocular pressure >21 mm Hg, vertical cup-to-disc ratio ≥0.5, visual field abnormalities, and retinal nerve fiber layer thinning. Mobile, real-time teleophthalmology is both workable and effective in increasing access to care and identifying the most common causes of blindness and their risk factors.