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青光眼远程医疗的最新进展。

Recent developments of telemedicine in glaucoma.

机构信息

Department of Medical Education.

Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

出版信息

Curr Opin Ophthalmol. 2024 Mar 1;35(2):116-123. doi: 10.1097/ICU.0000000000001019. Epub 2024 Feb 8.

Abstract

PURPOSE OF REVIEW

Telemedicine has an increasingly significant role in the fields of ophthalmology and glaucoma. This review covers recent advancements in the development and optimization of teleglaucoma techniques and applications.

RECENT FINDINGS

Glaucoma monitoring and diagnosis via remote tonometry, perimetry, and fundus imaging have become a possibility based on recent developments. Many applications work in combination with smart devices, virtual reality, and artificial intelligence and have been tested in patient populations against conventional "reference-standard" measurement tools, demonstrating promising results. Of note, there is still much progress to be made in teleglaucoma and telemedicine at large, such as accessibility to internet, broadband, and smart devices, application affordability, and reimbursement for remote services. However, continued development and optimization of these applications suggest that the implementation of remote monitoring will be a mainstay for glaucoma patient care.

SUMMARY

Especially since the beginning of the COVID-19 pandemic, remote patient care has taken on an important role in medicine and ophthalmology. Remote versions of tonometry, perimetry, and fundus imaging may allow for a more patient-centered and accessible future for glaucoma care.

摘要

目的综述

远程医疗在眼科和青光眼领域发挥着越来越重要的作用。本综述涵盖了 teleglaucoma 技术和应用的最新发展和优化。

最近的发现

基于最新的发展,通过远程眼压测量、视野检查和眼底成像对青光眼进行监测和诊断已成为可能。许多应用与智能设备、虚拟现实和人工智能相结合,并已在患者群体中针对传统的“参考标准”测量工具进行了测试,结果显示出良好的效果。值得注意的是,远程医疗和 teleglaucoma 仍有许多需要改进的地方,例如互联网、宽带和智能设备的可及性、应用的可负担性以及远程服务的报销。然而,这些应用的持续开发和优化表明,远程监测的实施将成为青光眼患者护理的主要手段。

总结

尤其是自 COVID-19 大流行开始以来,远程患者护理在医学和眼科领域发挥了重要作用。眼压测量、视野检查和眼底成像的远程版本可能为青光眼护理的以患者为中心和更便捷的未来铺平道路。

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