智能手机配合裂隙灯前置镜检查在基层医院眼底病诊疗中的应用  

Application of smart phone and supporting set for fundus imaging in primary hospital of rural area

作　　者：景永锋 史瑞昕 王倩倩 孙静 刘秋平[2] 李晶明[3] Yong-Feng Jing;Rui-Xin Shi;Qian-Qian Wang;Jing Sun;Qiu-Ping Liu;Jing-Ming Li(Department of Ophthalmology, Binxian Division , First Affiliated Hospital of Xi'an Jiaotong University, Xianyang 713500, Shaanxi Province, China;Affiliated Eye Hospital of Nanchang University,Nanchang 330006, Jiangxi Province, China;Department of Ophthalmology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China)

机构地区：[1]西安交通大学第一附属医院彬县分院眼科,中国陕西省彬县713500 [2]南昌大学附属眼科医院,中国江西省南昌市330006 [3]西安交通大学第一附属医院眼科,中国陕西省西安市710061

出　　处：《国际眼科杂志》2018年第1期143-146,共4页International Eye Science

基　　金：国家自然科学基金项目(No.81460163;81400427;81300786);陕西省青年科技新星项目(No.2016KJXX-12);西安交通大学基本科研业务费专项科研项目(No.xjj2015015);教育部博士学科点基金(No.20133601120012);江西省科技厅项目(No.20142BAB215029;20132BAB205024;20142BDH80005);江西省教育厅科学技术研究项目(No.GJJ14094;GJJ13175)~~

摘　　要：目的:探讨在基层医院通过智能手机的照相功能联合手机夹子在眼底图像采集中的应用。方法:自购手机夹子,将手机与裂隙灯一侧目镜相接,并牢靠固定。利用裂隙灯的裂隙光带,配合裂隙灯前置镜,进行眼底照相。结果:手机夹子牢靠固定于裂隙灯,通过裂隙灯前置镜,利用裂隙灯显微镜的光学系统,能顺利成像。获得的图片清晰,色彩度及对比度均较好,病变重点突出,利于观察。对采集的图片利用互联网进行交流,可通过微信传输给患者进行个人资料保存或者发送给上级医院医生进行远程会诊。结论:手机夹子购买方便,简单易得;800~1000万像素的智能手机广泛普及,成像质量完全可以满足临床需要,能够丰富临床资料,便于医患之间病情的顺利沟通,同行之间的快捷交流及学习。同时对于疑难问题,可快速远程会诊,及时快捷地对疾病做出诊断和治疗。AIM:To describe the application of smart phone and supporting set for acquiring fundus images with slitlamp examination and non-contact lens in primary hospital of the rural area.METHODS:The supporting set for smart phone was purchased from taobao and securely connected to the ocular lens of slitlamp microscopy.The fundus photos were imaged with assistance of non-contact slitlamp lens from Volk.RESULTS:High quality images of various retinal diseases could be successfully taken with smart phone and supporting set by slitlamp examination.The fundus images were send to patients with Wechat as medical records or used for telconsultant.CONCLUSION:High resolution smart phones are wildly used nowadays and supporting sets are very accessible;thus high quality of images could be obtained with minimal cost in rural hospitals.The digital fundus images will be beneficial for medical record and rapid diagnosis with telconsultant.

关 键 词：基层医院 手机夹子 智能手机 裂隙灯显微镜 裂隙灯前置镜 

分 类 号：R770.4[医药卫生—眼科]