Carmel Mercado, John Welling, Matthew Oliva, Jack Li, Reeta Gurung, Sanduk Ruit, Geoff Tabin, David Chang, Suman Thapa, David Myung
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We used the device at a tertiary eye care facility, a rural eye hospital and a rural cataract outreach camp. We tested the device's capability for high quality photo-documentation in clinic, in the operating room, and in the outreach camp setting. Images were automatically uploaded to a secure, cloud-based electronic medical record system that facilitated sharing of images with other providers for telemedicine purposes.</p><p><strong>Results: </strong>Herein we present 17 ocular images documenting a wide variety of anterior and posterior segment pathology using the Paxos Scope from clinical cases seen in a variety of settings in Nepal.</p><p><strong>Conclusions: </strong>We found the quality of both the anterior and posterior segment images to be excellent in the clinic, the operating room, and the outreach camp settings. We found the device to be versatile and user-friendly, with a short learning curve. 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引用次数: 9
摘要
背景:利用智能手机技术获得高质量眼部图像的能力在世界上资源不足的地区具有特殊的意义,在这些地区,传统的眼部成像设备成本过高,运输困难,并且需要训练有素的技术人员进行操作。目的:本研究的目的是探索在尼泊尔资源不足的情况下,基于智能手机的眼科相机适配器(Paxos Scope, Digisight Technologies, San Francisco, CA, USA)的潜在前、后段眼部成像用例。方法:2015年9月至11月,我们利用Paxos Scope智能手机摄像头适配器与iPhone 5结合,探讨该移动技术在前后节段的临床应用。我们在一家三级眼科保健机构、一家农村眼科医院和一个农村白内障外展营使用了这个设备。我们测试了该设备在诊所、手术室和外展营地环境中进行高质量照片记录的能力。图像被自动上传到安全的基于云的电子医疗记录系统,该系统便于与其他提供商共享图像,用于远程医疗目的。结果:在这里,我们展示了17张眼部图像,记录了各种各样的前、后段病理,使用Paxos Scope从尼泊尔的各种环境中看到的临床病例。结论:我们发现在临床、手术室和外展营环境中,前段和后段图像的质量都很好。我们发现这款设备用途广泛,用户友好,学习曲线短。Paxos Scope智能手机相机适配器可以为世界上资源不足的地区提供经济实惠、高质量的移动眼成像选择。
Clinical Application of a Smartphone-Based Ophthalmic Camera adapter in Under-Resourced Settings in Nepal.
Background: The ability to obtain high quality ocular images utilizing smartphone technology is of special interest in under-resourced parts of the world where traditional ocular imaging devices are cost-prohibitive, difficult to transport, and require a trained technician for operation.
Purpose: The purpose of this study was to explore potential anterior and posterior segment ocular imaging use cases for a smartphone-based ophthalmic camera adapter (Paxos Scope, Digisight Technologies, San Francisco, CA, USA) in under-resourced settings in Nepal.
Methods: From September to November of 2015 we utilized the Paxos Scope smartphone camera adapter coupled with an iPhone 5 to explore anterior and posterior segment clinical applications for this mobile technology. We used the device at a tertiary eye care facility, a rural eye hospital and a rural cataract outreach camp. We tested the device's capability for high quality photo-documentation in clinic, in the operating room, and in the outreach camp setting. Images were automatically uploaded to a secure, cloud-based electronic medical record system that facilitated sharing of images with other providers for telemedicine purposes.
Results: Herein we present 17 ocular images documenting a wide variety of anterior and posterior segment pathology using the Paxos Scope from clinical cases seen in a variety of settings in Nepal.
Conclusions: We found the quality of both the anterior and posterior segment images to be excellent in the clinic, the operating room, and the outreach camp settings. We found the device to be versatile and user-friendly, with a short learning curve. The Paxos Scope smartphone camera adapter may provide an affordable, high-quality, mobile ocular imaging option for under-resourced parts of the world.