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多学科团队，包括紧急和紧急护理医生， 眼科医生和生物医学工程师寻求提高非专业提供者的能力， 眼科检查在护理点。紧急和紧急护理环境往往是接入点， 寻求眼部护理的患者在这些非专业环境中检查眼睛的标准护理仪器是 众所周知，使用起来很困难，病人经常被转诊到以后的专业护理， 时间和延迟护理。为了提高在这些非眼科患者中进行诊断有用的眼科检查的可能性， 专业设置，我们将介绍一个远程，半自主眼睛成像系统，能够视网膜光学 相干断层扫描（OCT）、视网膜扫描激光检眼镜（SLO）和眼前节裂隙 照明成像，无需现场人员操作即可使用。 这些发展具有直接的临床和研究适用性， 容易地检查患者已经在的患者眼睛。此外，作为一个国家， 在专业眼科护理可能有限的其他环境中，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.