[关键词]
[摘要]
远程医疗面临的核心挑战之一在于辅助检查的有效实施。这在眼科领域尤为显著,因为眼科依赖于各类检查设备,而这些设备往往要求操作人员具备一定的专业技能。视功能检测作为眼科不可或缺的检查项目,是眼病筛查、诊断、疗效评估及随访观察的重要依据。随着移动技术的飞速发展,视功能检查这一传统上需要在临床环境中进行的项目,有了向以患者为中心的家庭环境拓展的可能。这不仅为患者提供了便利,也极大地推动了眼科远程医疗的发展。文章重点探讨了视功能自测工具的开发与准确性、可重复性等验证相关研究,总结了视力、验光、视野、对比敏感度及色觉检查等各项视功能相关数字工具的特点及可靠性,旨在为眼科医生及患者在选择和使用这类工具时提供科学、实用的参考,从而进一步提升眼科远程医疗的效率和效果。
[Key word]
[Abstract]
One of the significant hurdles in telemedicine, particularly in ophthalmology, is the absence of direct physical examination. This specialty depends extensively on specialized instruments that typically require proficient operators. Visual function tests are crucial for both outpatient and inpatient ophthalmic services, playing a vital role in screening, diagnosing, monitoring treatment effectiveness, and managing follow-ups for various eye conditions. The progress in mobile technology has paved the way for expanding these tests beyond traditional clinic settings, promoting the creation of patient-focused, straightforward, cost-effective, and efficient measurement tools. In light of the swift advancement of digital technologies, this article reviews the characteristics, and reliability of self-administered visual function tests tools, including visual acuity, refractive error assessment, visual field, contrast sensitivity, and color vision, along with other pertinent diagnostic tools that have been developed and validated for accuracy and repeatability through research, with a view to providing ophthalmologists and patients with scientific and practical references when selecting and using these tools, further promoting efficiency and efficacy of teleophthalmology.
[中图分类号]
[基金项目]
国家自然科学基金资助项目(No.82070940); 广州市科学技术局市校(院)企联合资助项目(No.2024A03J0245)