■正确获得初级眼部护理对于解决视力障碍至关重要,和远程眼科护理检查是一个有前途的解决方案,可以促进这种访问在许多农村或偏远地区。尽管远程眼科检查变得越来越频繁,全面的远程眼科护理考试仍然受到缺乏公布数据的限制。这项研究的目的是比较全面的远程眼科护理检查与黄金标准的主要眼科护理检查,重点是屈光测量。眼部健康评估,眼科护理提供者的信心水平和患者满意度。
■66名参与者接受了由两名眼部护理提供者进行的两次全面眼科检查。一个是黄金标准的面对面考试,另一个是由眼科护理提供者通过视频会议进行的远程检查。完成了总体患者满意度调查和具有每种模式的试验框架的视觉舒适度问卷,并且眼部护理提供者对每种测试的置信水平进行了评分。比较两种模式之间的检查结果和诊断。
■远距折射在球圆柱屈光力和最佳矫正视力方面与人体主观屈光力具有良好到极好的一致性。两种模式之间的视觉舒适度没有统计学上的显着差异。眼健康评估的现场和远程检查之间的协议从公平到几乎完美,但研究样本中眼部病变的患病率较低.眼科护理提供者的信心水平和患者满意度在统计学上较高。
■远程眼科护理在统计学和临床上似乎不劣于现场眼科检查,尤其是折射,但是眼部病变的低患病率在一定程度上限制了其对眼部健康评估的疗效比较.需要更多关于全面的远程眼部护理考试的研究。
UNASSIGNED: Proper access to primary eye care is essential in addressing vision impairment, and tele-eye care examinations are a promising solution that could facilitate this access in many rural or remote areas. Even though remote eye exams are becoming increasingly frequent, comprehensive tele-eye care exams are still limited by the lack of published data. The aim of this study is to compare a comprehensive tele-eye care exam with a gold standard in-person primary eye care exam with an emphasis on refractive measurements, ocular health assessment, confidence level of the eye care providers and patient satisfaction.
UNASSIGNED: Sixty-six participants underwent two comprehensive eye exams performed by two eye care providers. One was a gold standard in-person exam, while the other was a remote exam performed by an eye care provider through videoconference. An overall patient satisfaction survey and a questionnaire for visual comfort with a trial frame from each modality were completed and the eye care providers scored their confidence level for each test. Exam results and diagnoses were compared between both modalities.
UNASSIGNED: Tele-refraction has a good to excellent agreement with in-person subjective refraction in terms of sphero-cylindrical power and best corrected visual acuity. There was no statistically significant difference for visual comfort between both modalities. The agreement between in-person and remote exams for ocular health assessment ranged from fair to almost perfect, but there was a low prevalence of ocular pathologies within the study sample. The confidence level of the eye care providers and patient satisfaction were statistically higher in-person.
UNASSIGNED: Tele-eye care appears to be statistically and clinically non-inferior to in-person eye exams, especially for refraction, but the low prevalence of ocular pathologies somewhat limits the comparison of its efficacy for ocular health assessment. More studies on comprehensive tele-eye care exams are needed.