在一般急诊室进行非水性眼底图像:系统查的可行性和新考虑
Nithya Shanmugam1, Mung Yan Lin1, Jessica G McHenry1
1From the Department of Ophthalmology (N.S., M.Y.L., J.G.M., K.Y., S.D., G.A.L., D.V.A., J.P., M.D., N.J.N., V.B.), Emory University School of Medicine, Atlanta, Georgia, USA.
American journal of ophthalmology
|September 17, 2025
概括
在急诊室 (ED) 中,使用非水液底部摄影与光学连贯性断层扫描 (NMFP-OCT) 进行系统的眼睛成像是可行的,但具有挑战性. 近一半的符合条件的患者由于患者的疾病或ED过程问题而没有接受成像.
科学领域:
- 眼科医生 眼科 眼科
- 紧急医疗 紧急医疗
- 医疗技术 医疗技术 医学技术
背景情况:
- 眼球底镜检查是紧急部门 (ED) 特定首席投诉的标准.
- 在ED中实施系统的眼镜成像需要评估可行性并确定障碍.
研究的目的:
- 调查系统性眼镜成像对ED患者的可行性,这些患者的病情通常需要 funduscopic 检查.
- 评估在一般ED环境中使用光学连贯性断层扫描 (NMFP-OCT) 进行非水滴眼底摄影的实施情况.
主要方法:
- 一个潜在的质量改进可行性项目在一般ED中进行了16天/夜.
- 研究人员在连续出现视力投诉,头痛,神经疾病,高血压危机,糖尿病或末期病的患者身上获得了NMFP-OCT.
- 收集的数据包括人口统计,指示,发现,图像质量,以及没有获得NMFP-OCT的原因.
主要成果:
- 在1838次ED访问中,801名患者有资格接受NMFP-OCT,其中410人 (51%) 接受了它.
- 与未接受NMFP-OCT治疗的患者相比,接受NMFP-OCT治疗的患者的视力投诉和头痛的发生率明显更高.
- 几乎一半 (49%) 的符合条件的患者没有接受NMFP-OCT,主要是由于患者的病情 (56.3%) 或ED过程问题 (43.7%).
- 眼部成像研究的低率 (6.7%) 是无法解释的.
结论:
- 在ED中进行系统的NMFP-OCT是可行的,但面临重大障碍,49%的患者没有接受成像.
- 患者的疾病和ED特定的过程问题是未完成眼部成像的主要原因.
- 现实的期望对于在急诊室环境中实施新的眼科技术至关重要.
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