■Covid-19大流行需要社会距离限制,这限制了只有那些有视力丧失风险的人才能获得眼科护理。所有其他面对面的协商都改为电话协商或被推迟。我们调查了父母是否能够使用可用的家庭视力测试应用程序来测试孩子的视力,目的是在电话咨询期间帮助决策。
在伯明翰儿童医院接受后续咨询的家庭被要求在家中测试孩子的视力。Peek敏锐度的使用说明,或iSightPro,通过电子邮件发送给父母。父母选择根据家里可用的设备使用特定的应用程序。要求父母两次测试单眼视力。家庭视力与医院视力相关。获得家庭敏锐度重测信度。父母的反馈是通过问卷调查获得的。
■联系了一百零三个家庭,15个家庭完成了家庭视力测试。十个家庭使用了窥视敏锐度,五个家庭使用iSightPro。单眼视力重测信度为0.03LogMAR。家庭医院视力测试的偏差为0.14LogMAR,医院视力产生较低的LogMAR评分。大多数完成测试的家庭发现这很容易;然而,一些挣扎,81个家庭没有进行家庭视力测试。
■家庭视力测试的学习受到父母参与的限制,最有可能受到当前大流行的影响。大多数进行家庭视力测试的家庭能够产生可用于临床决策的结果。扩大父母视力测试的影响将需要临床医生的教育和进一步的研究,以增加样本量和提高信心。
UNASSIGNED: The Covid-19 pandemic necessitated social distancing restrictions, which placed limitations on access to ophthalmic care to only those who had an imminent risk of sight loss. All other face-to-face consultations were converted to telephone consultations or were postponed. We investigated whether parents were able to test their child\'s vision using available home vision testing applications, with an aim to aid decision making during a telephone consultation.
UNASSIGNED: Families with follow-up consultations at Birmingham Children\'s Hospital were asked to test their child\'s vision at home. Instructions for the use of Peek acuity, or iSight Pro, were emailed to a parent. Parents chose to use a particular app based on available devices at home. Parents were asked to test uniocular visual acuity twice. Home versus hospital acuity was correlated. Home acuity test-retest reliability was acquired. Parental feedback was obtained through questionnaires.
UNASSIGNED: One hundred and three families were contacted, 15 families completed home vision testing. Ten families used Peek acuity, five families used iSight Pro. Uniocular visual acuity test-retest reliability was 0.03 LogMAR. Home-hospital acuity testing had a bias of 0.14 LogMAR, hospital acuity yielding a lower LogMAR score. Most families who completed testing found it easy to do; however, some struggled, and 81 families did not undertake home vision testing.
UNASSIGNED: Uptake of home vision testing was limited by parental engagement, most likely influenced by the current pandemic. Most families who undertook home vision testing were able to generate results that could be used for clinical decision making. Extending the impact of parental vision testing will require education by clinicians and further study to increase sample sizes and to improve confidence.