借助便携式裂隙灯的一种远程筛查平台对社区白内障筛查的应用研究

Application of a remote screening platform with portable slit lamp for cataract screening in community

目的探讨手持式裂隙灯显微镜与手机配合在社区白内障筛查中的应用研究。方法本研究设计利用手持式裂隙灯显微镜(HE 010-21,沈阳艾洛博智能科技有限公司)配合手机照相功能对辽宁省沈阳市沈北新区社区街道进行白内障眼病随机筛查,对2019年6~9月期间手持式裂隙灯与手机配合筛查社区裸眼视力0.3以下,年龄在50~70岁之间,315人(630眼)进行统计分析。本研究利用国标视力表检查表,初步筛选视力0.3以下患者,在利用手持式裂隙灯显微镜与手机摄像头进行配合,利用手机三方软件对眼部进行裂隙拍照初步诊断白内障病情,再将照片上传到远程医疗平台,由专业医疗团队对相片进一步诊断。结果手持式裂隙灯显微镜随机筛查630眼,初步诊断患有白内障158眼,对生活影响较大26眼,经来院检查确认158眼白内障阳性157眼,手持式裂隙灯显微镜对社区白内障患者检出阳性率99.36%,检查结果阳性率较高,具有一定参考价值。结论手持式裂隙灯显微镜与手机配合可对社区白内障患者进行初步筛查,同时可以利用三方软件进行数据上传,进行远程医疗,实现偏远农村、社区街道精准筛查与远程医疗的目的。

Objetive Applicationof hand-held slit lamp microscope and mobile phone in cataract screening in community.Methods In this study,a hand-held slit lamp microscope(HE 010-21,Shenyang Elobo Intelligent Technology Co.,Ltd.)was used to screen for cataract ophthalmopathy randomly in the Community streets of Shenbei New District,Shenyang,Liaoning Province,in conjunction with the mobile phone photography function.In this study,hand-held slit lamp microscope(HE 010-21,Shenyang elobo Intelligent Technology Co.,Ltd.)and mobile phone photography were used randomly screen the cataract in the community streets of Shenbei New District,Shenyang City,Liaoning Province.In cooperation with the hand-held slit lamp microscope and Cooperate with mobile phone camera using hand-held slit lamp microscope,the three-way software of mobile phone,was used to take photos of the cracks in the eyes to preliminarily diagnose the condition of cataract,and then the photos were uploaded to the telemedicine platform for further diagnosis by the professional medical team.From June to September 2019,315 people(630 eyes)aged 50-70 and under 0.3 were screened by hand-held slit lamp and mobile phone.This paper discusses the difference between hand-held slit lamp microscope community screening and clinical slit lamp detection,and discusses the application of hand-held slit lamp microscope community eye disease screening.Results 630 eyes were randomly screened by hand-held slit lamp microscope,158 eyes were initially diagnosed with cataract,26 eyes had a greater impact on life,157 eyes were confirmed to be cataract positive after coming to the hospital,the positive rate of hand-held slit lamp microscope for community cataract patients was 99.36%,the positive rate of examination results is high,which has certain reference value.Conclusion the combination of hand-held slit lamp microscope and mobile phone can be used for preliminary screening of cataract patients in the community.At the same time,the three-party software can be used for data upload and telemedicine,so as to achieve the purpose of precise screening and telemedicine in remote rural areas and Community streets.