[1]《眼表疾病常用非接触式影像学检查设备规范操作指南(0)》专家组,中国医药教育协会眼科影像与智能医疗分会,世界中医药学会联合会眼科专委会.眼表疾病常用非接触式影像学检查设备规范操作指南(2023)[J].眼科新进展,2023,43(6):421-428.[doi:10.13389/j.cnki.rao.2023.0085]
 Expert Workgroup of Standard Operating Guidelines for Non-Contact Imaging Equipment Commonly Used in Ocular Surface Diseases0,Ophthalmic Imaging and Intelligent Medicine Branch of China Medical Education Association,Ophthalmology Branch of World Federation of Chinese Medicine Societies.Standard operating guideline for non-contact imaging devices commonly used in ocular surface diseases (2023)[J].Recent Advances in Ophthalmology,2023,43(6):421-428.[doi:10.13389/j.cnki.rao.2023.0085]
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眼表疾病常用非接触式影像学检查设备规范操作指南(2023)/HTML
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
43卷
期数:
2023年6期
页码:
421-428
栏目:
述评
出版日期:
2023-06-05

文章信息/Info

Title:
Standard operating guideline for non-contact imaging devices commonly used in ocular surface diseases (2023)
作者:
《眼表疾病常用非接触式影像学检查设备规范操作指南(2023)》专家组中国医药教育协会眼科影像与智能医疗分会世界中医药学会联合会眼科专委会
Author(s):
Expert Workgroup of Standard Operating Guidelines for Non-Contact Imaging Equipment Commonly Used in Ocular Surface Diseases(2023)Ophthalmic Imaging and Intelligent Medicine Branch of China Medical Education AssociationOphthalmology Branch of World Federation of Chinese Medicine Societies
关键词:
非接触式眼科检查影像学检查眼表疾病操作规范
Keywords:
non-contact ophthalmic examination imaging ocular surface diseases operating specification
分类号:
R770.4
DOI:
10.13389/j.cnki.rao.2023.0085
文献标志码:
A
摘要:
非接触式眼科影像学检查主要是指在不接触眼睛的情况下使用仪器对眼部进行检查,目前在眼表疾病中应用十分广泛。临床上常用于眼表疾病的非接触式眼科影像学检查主要包括裂隙灯显微镜照相、非接触式眼表综合分析仪、眼前节光学相干断层扫描(AS-OCT)、眼前节光学相干断层扫描血管成像(AS-OCTA)、角膜地形图与非接触式角膜内皮镜等。非接触式眼科影像学检查具有对患者眼睛无刺激、操作便利、患者配合度高等优势,对眼表疾病的辅助诊断及临床治疗都有着极大的帮助。但非接触式眼科影像学检查仪器使用时会受操作人员技术水平的影响,同一患者、同一台仪器不同操作者的检查结果可能存在较大偏差。为规范非接触式眼科影像学检查仪器的操作以及提升其对眼表疾病诊断的准确性,特制定本指南。本指南主要针对非接触式眼科影像学检查仪器的规范化操作及其在眼表疾病中的临床应用两个方面进行阐述,从而为眼表疾病的诊断和治疗提供一定的指导意见。
Abstract:
Non-contact ophthalmic imaging mainly refers to using instruments to check the eyes without contacting the eyes. Nowadays, non-contact ophthalmic imaging is widely used in ocular surface diseases, such as slit-lamp microphotography, non-contact ocular surface analyzer, anterior segment optical coherence tomography, anterior segment optical coherence tomography angiography, corneal topography and non-contact specular microscopy. With the advantages of non-irritation, convenient operation and well coordination of patient, non-contact ophthalmic imaging greatly helps the auxiliary diagnosis and clinical treatment of ocular surface diseases. However, the results of non-contact ophthalmic imaging are affected by operators. The examination results of the same patient obtained by different operators by using the same device may vary greatly. This guideline is to standardize the operation and improve the accuracy of the non-contact ophthalmic imaging devices. It consists of two parts: the standardized operation of non-contact ophthalmic imaging devices and its clinical application in ocular surface diseases, aiming to provide clear guidance for the diagnosis and treatment of ocular surface diseases.

参考文献/References:

[1] FANG X,DESHMUKH M,CHEE M L,ET A L,THAM Y C.Deep learning algorithms for automatic detection of pterygium using anterior segment photographs from slit-lamp and hand-held cameras [J].Br J Ophthalmol,2022,106(12):1642-1647.
[2] 沈沛阳,陈海波,刘红山,曾明兵,黄雄高,邢健强,等.Keratograph眼表综合分析仪与传统方法对泪膜功能评价的一致性分析[J].国际眼科杂志,2015,15(5):846-849.
SHEN P Y,CHEN H B,LIU H S,ZENG M B,HUANG X G,XING J Q,et al.Consistency analysis of Keratograph and traditional methods to evaluate tear film function[J].Int Eye Sci,2015,15(5):846-849.
[3] 伍志琴,杨燕宁,袁静,聂尚武.非侵入性眼表综合分析仪在指导干眼患者个体化治疗中的应用价值[J].国际眼科杂志,2016,16(3):572-574.
WU Z Q,YANG Y N,YUAN J,NIE S W.Clinical effect of Keratography 5M in the diagnosis and individualized treatment for dryeye patients[J].Int Eye Sci,2016,16(3):572-574.
[4] 陈旭,马华峰.睑板腺功能障碍临床诊断新进展[J].国际眼科杂志,2018,18(6):1051-1054.
CHEN X,MA H F.Recent advances in the clinical examinations of Meibomian gland dysfunction[J].Int Eye Sci,2018,18(6):1051-1054.
[5] LI Y,GOKUL A,MCGHEE C,ZIAEI M.Repeatability of corneal and epithelial thickness measurements with anterior segment optical coherence tomography in keratoconus[J].PLoS One,2021,16(6):e0248350.
[6] JANCEVSKI M,FOSTER C S.Anterior segment optical coherence tomography[J].Prog Retin Eye Res,2018,25(5/6):317-323.
[7] 王冰松,王宁利.眼前段相干光断层成像术在眼科的应用[J].中华眼科杂志,2008,44(2):185-188.
WANG B S,WANG N L.Applications of anterior segment optical coherence tomography in ophthalmology[J].Chin J Ophthalmol,2008,44(2):185-188.
[8] FANTE R J,SHTEIN R M,TITUS M S,WOODWARD M A.Anterior segment optical coherence tomography versus ultrasound pachymetry to measure corneal thickness in endothelial keratoplasty donor corneas[J].Cornea,2013,32(5):E79-E82.
[9] SHOUSHA M A,KARP C L,PEREZ VL,HOFFMANN R,VENTURA R,CHANG V,et al.Diagnosis and management of conjunctival and corneal intraepithelial neoplasia using ultra high-resolution optical coherence tomography [J].Ophthalmology,2011,118(8):1531-1537.
[10] OELLERS P,KARP C L.Management of pigmented conjunctival lesions [J].Ocul Surf,2012,10(4):251-263.
[11] BIANCIOTTO C,SHIELDS C L,GUZMAN J M,ROMANELLI-GOBBI M,MAZZUCA D J R,GREEN W R,et al.Assessment of anterior segment tumors with ultrasound biomicroscopy versus anterior segment optical coherence tomography in 200 cases [J].Ophthalmology,2011,118(7):1297-1302.
[12] JIAO H,HILL L J,DOWNIE L E,CHINNERY H R.Anterior segment optical coherence tomography:its application in clinical practice and experimental models of disease [J].Clin Exp Optom,2019,102(3):208-217.
[13] WERKMEISTER R M,ALEX A,KAYA S,UNTERHUBER A,HOFER B,RIEDL J,et al.Measurement of tear film thickness using ultrahigh-resolution optical coherence tomography [J].Invest Ophthalmol Vis Sci,2013,54(8):5578-5583.
[14] 邵毅.光学相干断层扫描血管造影(OCTA)在眼科临床的应用[J].眼科新进展,2017,37(9):801-805.
SHAO Y.Clinical research of optical coherence tomography angiography(OCTA) in ophthalmology[J].Rec Adv Ophthalmol,2017,37(9):801-805.
[15] 朱佩文,邹雪香,刘康成,韩云,林志荣,叶蕾,等.光学相干断层扫描血管造影(OCTA)在角膜厚度测量中的临床研究[J].眼科新进展,2017,37(8):732-735.
ZHU P W,ZOU X X,LIU K C,HAN Y,LIN Z R,YE L,et al.Measurement of corneal thickness by optical coherence tomography angiography[J].Rec Adv Ophthalmol,2017,37(8):732-735.
[16] AKAGI T,UJI A,HUANG A S,WEINREB R N,YAMADA T,MIYATA M,et al.Conjunctival and intrascleral vasculatures assessed using anterior segment optical coherence tomography angiography in normal eyes [J].Am J Ophthalmol,2018,196:1-9.
[17] CHIEN J L,SIOUFI K,SHIELDS C L.Optical coherence tomography angiography of conjunctival racemose hemangioma [J].Ophthalmology,2017,124(4):449.
[18] BINOTTI W W,NOS R M,KOSEOGLU N D,DIECKMANN G M,KENYON K,HAMRAH P.The utility of anterior segment optical coherence tomography angiography for the assessment of limbal stem cell deficiency [J].Ocul Surf,2021,19:94-103.
[19] 肖明,马代金.联合应用Corvis ST和Pentacam角膜地形图诊断圆锥角膜[J].眼科,2019,28(2):150-154.
XIAO M,MA D J.Combined application of Corvis ST and Pentacam corneal topography in diagnosis of keratoconus [J].Ophthalmol CHN,2019,28(2):150-154.
[20] ANDRIENKO G V.Visualization and assessment of the anterior surface of the cornea by corneal topography (Part II) [J].Eye,2020,22(131):43-51.
[21] 邱岩,郑艳珍,翟国光,李耀宇.SIRIUS 3D角膜地形图在圆锥角膜诊断中的应用[J].国际眼科杂志,2012,12(6):1136-1138.
QIU Y,ZHENG Y Z,ZHAI G G,LI Y Y.SIRIUS 3D topography in the diagnosis of keratoconus[J].Int Eye Sci,2012,12(6):1136-1138.
[22] 吴勤,段宣初,蒋幼芹,卿国平,江冰,石晶明.非接触式角膜内皮镜测量正常角膜厚度的研究[J].眼科学报,2004(4):229-232,236.
WU Q,DUAN X C,JIANG Y Q,QING G P,JIANG B,SHI J M.Normal value of the central corneal thickness measured by non-contact specular microscope[J].Eye Sci,2004(4):229-232,236.

备注/Memo

备注/Memo:
国家自然科学基金(编号:82160195);江西省双千计划科技创新高端领军人才项目(2022);江西省重大(重点)研发专项计划(编号:20223BBH80014;20181BBG70004;20203BBG73059);江西省杰出青年基金(编号:20192BCBL23020)
注:本指南的国际实践指南注册号为 IPGRP-2023CN211(http://www.guidelines-redistry.cn/)。
更新日期/Last Update: 2023-06-05