用于诊断青光眼的便携式设备:一个范围审查
Farouk Garba1,2, Fatima Kyari3,4, Matthew J Burton3
1London School of Hygiene & Tropical Medicine, London, UK farouk.garba@lshtm.ac.uk.
BMJ open
|October 22, 2025
概括
便携式设备为青光眼的检测和监测提供了有前途的解决方案,特别是在服务不足的地区. 需要进一步的研究,以整合这些工具,以在低资源环境中提供综合护理.
科学领域:
- 眼科医生 眼科 眼科
- 医疗器械 医疗器械
- 公共卫生 公共卫生
背景情况:
- 玻璃眼是全球不可逆转失明的主要原因.
- 可访问的诊断工具对于早期检测和管理至关重要.
- 传统的方法往往无法在资源较低的环境中使用.
研究的目的:
- 在便携式设备上绘制证据,用于对青光眼的检测,诊断和监测.
- 为了确定当前的研究趋势和在便携式玻璃眼诊断中存在的差距.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-ScR指南进行范围审查.
- 全面的数据库搜索关于手持式音量计,便携式 fundus 摄像头和视野设备的研究.
- 提取关于研究设计,人口,设备,比较器和结果的数据.
主要成果:
- 包括216项研究 (1975-2024年),主要是关于眼内压力 (IOP) 装置的方法协议研究 (90.3%).
- 很少有研究 (2) 评估了所有三种玻璃眼领域 (IOP,视野, fundus成像).
- 许多便携式设备在各种环境中显示出与黄金标准的可接受一致性,尽管大多数研究发生在高收入国家.
结论:
- 便携式玻璃眼设备显示出改善诊断和监测的潜力,特别是在服务不足的地区.
- 低收入和中等收入国家的多式联运评估整合和研究存在差距.
- 未来的研究应该优先考虑全面的诊断途径和低资源设置评估.
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