Office-Based Rapid Diagnosis and Management of External Ophthalmomyiasis Via Smartphone-Aided Innovative Tools in an Under-Resourced Setting.

Eye & Contact Lens Pub Date : 2022-01-01 DOI:10.1097/ICL.0000000000000856

Prithvi Chandrakanth, Hirika Gosalia, Shishir Verghese, C K Sunitha Menon, Ram Rammohan, Kalpana Narendran, Venkatapathy Narendran

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Abstract

Purpose: To evaluate the use of smartphone-based innovative tools named Anterior segment photography with intraocular lens (ASPI) and smartphone based intraocular lens microscope (IOLSCOPE) to demonstrate, treat, and diagnose the patients of ophthalmomyiasis caused by Oestrus ovis.

Methods: A retrospective interventional case series of six patients infested with O. ovis presenting in a rural health center with symptoms of burning, itching, watering, and foreign body sensation diagnosed with ophthalmomyiasis. Diagnosis and treatment were performed using an innovative imaging technique that is, an optical system formed by intraocular lens (IOL) and smartphone.

Results: The smartphone-based ASPI clearly detected and removed the moving larvae from the ocular surface, followed by microbiological diagnosis of O.ovis larvae with the help of an IOLSCOPE.

Conclusion: The importance of ASPI and IOLSCOPE for the management of ophthalmomyiasis in peripheral health centers devoid of slitlamp and microscopes has been emphasized here.

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在资源不足的环境下，通过智能手机辅助的创新工具快速诊断和管理基于办公室的外眼病。

目的:评价基于智能手机的人工晶状体前段摄影(ASPI)和智能手机人工晶状体显微镜(IOLSCOPE)在卵巢发情引起的眼肿患者的显示、治疗和诊断中的应用。方法:回顾性分析6例在农村卫生院以灼烧、瘙痒、流泪、异物感等症状诊断为眼肿病的患者。诊断和治疗使用了一种创新的成像技术，即由人工晶状体(IOL)和智能手机组成的光学系统。结果:基于智能手机的ASPI清晰地检测出眼球表面的移动幼虫，并将其移除，随后在IOLSCOPE下对ovis幼虫进行微生物学诊断。结论:在缺乏裂隙灯和显微镜的周边卫生中心，ASPI和IOLSCOPE对眼病的治疗具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Eye & Contact Lens

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