Mesh : Humans Telemedicine COVID-19 / epidemiology Anterior Eye Segment Ophthalmology / methods SARS-CoV-2 Eye Diseases / therapy diagnosis Pandemics

来  源:   DOI:10.1097/ICU.0000000000001052

Abstract:
OBJECTIVE: The growing push to integrate telemedicine into ophthalmic practices requires physicians to have a thorough understanding of ophthalmic telemedicine\'s applications, limitations, and recent advances in order to provide well tolerated and appropriate clinical care. This review aims to provide an overview of recent advancements in the use of ophthalmic telemedicine for anterior segment eye examinations.
RESULTS: Virtual care for anterior segment evaluation relies on appropriate technology, novel workflows, and appropriate clinical case selection. Recent advances, particularly in the wake of the COVID-19 pandemic, have highlighted the utility of home-based assessments for visual acuity, external evaluation, tonometry, and refraction. Additionally, innovative workflows incorporating office-based testing into virtual care, termed \'hybrid telemedicine\', enable high-quality ophthalmic testing to inform clinical decision-making.
CONCLUSIONS: Novel digital tools and workflows enable high-quality anterior segment evaluation and management for select ophthalmic concerns. This review highlights the clinical tools and workflows necessary to enable anterior segment telehealth.
摘要:
目的:将远程医疗整合到眼科实践中的日益推动,要求医生对眼科远程医疗的应用有透彻的了解,局限性,和最新进展,以提供良好的耐受性和适当的临床护理。这篇综述旨在概述使用眼科远程医疗进行眼前节检查的最新进展。
结果:眼前节评估的虚拟护理依赖于适当的技术,新颖的工作流程,并选择合适的临床病例。最近的进展,特别是在COVID-19大流行之后,强调了家庭视敏度评估的实用性,外部评估,眼压测定,和折射。此外,将基于办公室的测试纳入虚拟护理的创新工作流程,称为“混合远程医疗”,使高质量的眼科测试为临床决策提供信息。
结论:新颖的数字化工具和工作流程可以对选定的眼科问题进行高质量的眼前节评估和管理。这篇综述重点介绍了实现眼前节远程健康所需的临床工具和工作流程。
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