Portable motion-stabilized optical coherence tomography for eye care in acute care settings

摘要 这项研究提案来自包括一名急诊内科医生在内的多学科团队， 眼科医生和生物医学工程师寻求提高急诊护理提供者诊断的能力 以及在护理时对眼部病理进行分类。急诊科等急救机构经常出现 照顾寻求眼科护理的病人。在这些急诊护理环境中，标准的护理仪器要检查 众所周知，眼睛很难使用和解释，特殊的眼科护理可能会推迟或 不可用。为了提高急诊护理人员对这些患者进行适当诊断和分类的能力， 我们将介绍一种专门针对这种环境的光学相干层析成像(OCT)系统。今年10月 系统将进行硬件和软件创新，以最大限度地提高急诊护理提供者获得 准确、高质量的患者眼睛的三维体积。使用这些三维渲染 对于眼睛，急诊护理人员可以从任何角度在显示器上查看患者的眼睛以识别 糖尿病引起的黄斑水肿或颅内增大引起的视神经头肿胀等病理改变 压力。 这些发展通过提供急诊护理，直接适用于临床和研究。 能够方便地对患者的眼睛进行三维检查的供应商。此外，还有未来 作为远程诊断功能的平台在专业眼科护理可能存在的其他环境中的影响 有限的。

ABSTRACT This research proposal from a multi-disciplinary team including an emergency medicine physician, ophthalmologists, and biomedical engineers seeks to improve the ability of acute care providers to diagnose and triage eye pathology at the point of care. Acute care settings such as emergency departments frequently take care of patients seeking eye care. In these acute care settings, standard of care instruments to examine the eye are notoriously difficult to use and interpret, and specialty ophthalmic care can be delayed or unavailable. To improve the ability of acute care providers to diagnose and triage these patients appropriately, we will introduce an optical coherence tomography (OCT) system specifically for this environment. This OCT system will have hardware and software innovations to maximize the ability of acute care providers to acquire accurate, high quality three-dimensional volumes of their patients' eyes. With these three-dimensional renders of the eye, acute care providers can view the patient's eye on a display from any perspective to identify pathologies such as macular edema from diabetes or optic nerve head swelling from increased intracranial pressure. These developments have both direct immediate clinical and research applicability by providing acute care providers with the ability to readily examine patient eyes in three-dimensions. In addition, there are future implications as a platform for remote diagnostic capabilities in other settings where specialty eye care may be limited.