Self-aligning, motion-stabilized ocular imaging for eye care in urgent and emergent care settings

摘要 这项研究提案来自一个包括急救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非专业提供商提供 护理点的眼科检查。紧急和紧急护理环境通常是 寻求眼科护理的患者。在这些非专科环境中检查眼睛的标准护理仪器有 出了名的难以使用，患者经常被转介到以后的特殊护理中，这增加了 时间和延迟护理。为了提高诊断有用的眼科检查在这些非 专业设置，我们将介绍一种远程、半自主的眼睛成像系统，能够进行视网膜光学 相干断层扫描(OCT)、视网膜扫描激光眼底镜(SLO)和眼前段裂隙 无需现场操作人员即可使用的照明成像。 这些发展具有直接的直接临床和研究适用性，通过提供潜在的 随时检查患者已经就诊的眼睛。此外，还有未来的影响，因为 在专业眼科护理可能受到限制的其他环境中提供远程诊断功能的平台。

ABSTRACT This research proposal from a multi-disciplinary team including urgent and emergent care physicians, ophthalmologists, and biomedical engineers seeks to improve the ability of non-specialty providers to provide ocular exams at the point of care. Urgent and emergent care settings are frequently the access point of patients seeking eye care. Standard of care instruments to examine the eye in these non-specialty settings are notoriously difficult to use, and patients frequently are referred out for later specialty care at added expense in time and delayed care. To improve the likelihood of diagnostically useful eye examinations in these non- specialty settings, we will introduce a remote, semi-autonomous eye imaging system capable of retinal optical coherence tomography (OCT), retinal scanning laser ophthalmoscope (SLO), and anterior segment slit illuminated imaging that can be used without need for on-site staffing for operation. These developments have both direct immediate clinical and research applicability by providing the potential to readily examine patient eyes where the patients already are. In addition, there are future implications as a platform for remote diagnostic capabilities in other settings where specialty eye care may be limited.