在密歇根州的低收入成年人中改善眼科护理准入的新计划中,参与者之间存在未经纠正的折射误差导致的视力障碍
相关实验视频
Updated: Jul 15, 2025

05:36
Subjective Refraction Test Using a Smartphone for Vision Screening
Published on: October 18, 2024
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Olivia J Killeen1, Leslie M Niziol2, Angela R Elam1
1Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan.
Ophthalmology
|September 27, 2023
概括
在8.2%的低收入患者中,未被纠正的折射误差导致视力损伤. 可访问的眼镜改善了与视力有关的生活质量,证明了远程医疗和在线光学服务对服务不足的人群的有效性.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 视力障碍 (VI) 显著影响生活质量.
- 在全球范围内,未纠正的折射误差 (URE) 是VI的主要可预防的原因.
- 远程医疗提供了一种有前途的方法,将眼科护理服务扩展到服务不足的人群中.
研究的目的:
- 为了确定MI-SIGHT计划中低收入患者中由于URE引起的VI的患病率.
- 调查来自URE的VI与人口/社会经济因素之间的关联.
- 评估可访问的眼镜对视觉功能和满意度的影响.
主要方法:
- 在MI-SIGHT远程医疗计划中对1171名成年参与者的横截面研究.
- 基于呈现和最佳校正视敏度对参与者的分类,以从URE定义VI.
- 统计分析 (ANOVA,克鲁斯卡尔-瓦利斯,千平方,费舍尔精确) 以基于人口统计,视觉功能和社会经济地位的群体进行比较.
主要成果:
- 10.3%的参与者患有VI,而URE是8.2%的原因.
- 来自URE的VI与较低的教育程度和收入 (<10,000美元) 有关.
- 与没有VI (82.2) 相比,从URE获得VI的参与者报告了明显较低的视觉功能得分 (67.3).
结论:
- 未修正的折射误差是MI-SIGHT服务的低收入社区VI的主要原因.
- 与视力相关的生活质量降低与URE的VI有关.
- 一家在线光学商店提供负担得起的眼镜,增加了低收入患者的可访问性和满意度.
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