糖尿病视网膜病变的现有和未来查计划:叙述性审查
Andreas Abou Taha1, Sebastian Dinesen2,3,4, Anna Stage Vergmann2,3
1Department of Ophthalmology, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark. Andreas.abou.taha@rsyd.dk.
International journal of retina and vitreous
|February 3, 2024
概括
糖尿病视网膜病变 (DR) 查计划正在全球范围内发展. 像人工智能和手持摄像头这样的技术进步提高了可访问性和成本效益,特别是在资源较低的环境中,解决了这种危及视力的并发症的日益流行问题.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗技术 医疗技术 医学技术
背景情况:
- 糖尿病是一个日益严重的全球健康问题,糖尿病视网膜病变 (DR) 是视力丧失的主要原因.
- 有效的查计划至关重要,但由于全球医疗保健资源的变化而面临挑战.
- 高收入国家正在实施国家查计划,而低收入和中等收入国家的进展较慢.
研究的目的:
- 审查糖尿病视网膜病变查计划的全球格局.
- 突出技术进步对DR查可访问性和有效性的影响.
- 讨论DR查的挑战和未来方向,特别是在资源有限的环境中.
主要方法:
- 这篇叙事综述综合了有关糖尿病视网膜病变流行病学和查策略的当前文献.
- 它检查了各种查方式,包括 fundus 摄影和新兴技术,如人工智能驱动的算法和移动视网膜摄像头.
- 该审查分析了不同收入水平国家的国家查计划的实施状况.
主要成果:
- 许多高收入国家已经建立了国家糖尿病眼睛查计划 (DESP).
- 低收入国家对DESP的实施有限,查往往是零星的,不基于证据.
- 新的技术,如2 - 4场底部成像,手持摄像头和人工智能算法,显示出高灵敏度和特异性,提供具有成本效益的解决方案.
结论:
- 技术进步正在提高DR查的成本效益和可访问性.
- 人工智能和手持设备有望改善DR检测,特别是在服务不足的地区.
- 需要进一步的全球努力来实施和优化DR查计划,以防止视力丧失.
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