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Undermining a common language: smartphone applications for eye emergencies.

Jennifer M Charlesworth1,2, Myriam A Davidson2

  • 1School of Medicine, National University of Ireland, Galway, Ireland, charlesworth.jennifer@gmail.com.

Medical Devices (Auckland, N.Z.)
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Summary

Smartphone applications for visual acuity assessment are not yet suitable for emergency room use. Limited validation studies show these mobile tools lack the necessary clinical reliability for eye assessments.

Keywords:
epidemiologymethodologyocularophthalmologyvisual acuity and emergency medicinevisual assessment

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Area of Science:

  • Ophthalmology
  • Medical Technology
  • Digital Health

Background:

  • Emergency room physicians often assess eye injuries without specialized equipment.
  • Mobile technology offers potential solutions for remote or in-situ patient evaluation.
  • The availability of smartphone applications for vision assessment is increasing.

Purpose of the Study:

  • To review the clinical effectiveness of smartphone applications for visual acuity assessment.
  • To evaluate applications available on Google Play and iTunes.

Main Methods:

  • Searched app stores (iTunes, Google Play) in Canada and Ireland for relevant applications.
  • Conducted literature searches in four medical databases (Cochrane, Embase, PubMed, Medline) from 2010-2017.
  • Included search terms related to eye, vision, and mobile technology.

Main Results:

  • Identified thousands of applications, with 44 retained after initial screening.
  • Found only 12 relevant health literature articles.
  • Discovered only one partial validation study for a single application.

Conclusions:

  • Current mobile device applications lack sufficient systematic validation.
  • These applications are not yet suitable for emergency room ophthalmologic assessments.
  • Further research is needed to establish clinical reliability and effectiveness.