Der Ophthalmologe

, Volume 109, Issue 1, pp 8–20

Smartphones in der Augenheilkunde

Erleichterung oder Spielerei für den Augenarzt?
Leitthema

Zusammenfassung

Einleitung

Smartphones bieten mittlerweile eine Reihe von medizinischen und ophthalmologischen Anwendungen („Apps’‘), deren Gebrauch in dieser Übersicht untersucht werden soll.

Methoden

In einer Internetanalyse wurden medizinische Apps gesucht und auf Gebrauchsfähigkeit untersucht. Mit Suchmaschinen, bei App-Anbietern und anderen Webstores wurde unter anderem mit Suchbegriffen wie „Smartphone“, „Medical Apps“, „Eye test“ gesucht. In einer Umfrage wurden weltweit Augenärzte nach dem Besitz eines Smartphones sowie nach ihren persönlichen Erfahrungen mit Apps befragt. Bezüglich aktueller, vielversprechender neuer Apps, die zurzeit noch nicht käuflich zur Verfügung stehen, wurde eine direkte Anfrage beim Entwickler vorgenommen.

Ergebnisse

Die mehr als 70 untersuchten Apps ließen sich in verschiedene Kategorien unterteilen: Untersuchungsfunktionen, Foto- und Videoaufnahmen, Rechen- und andere Schreibbüro- und Organisationsfunktionen, Erklärungs- und Aufklärungsfunktionen sowie medizinische Weiterbildungs- und Literatursuchfunktionen. Die Umfrage ermittelte das iPhone von Apple, Inc. als das häufigste Smartphone unter Augenärzten. Viele populäre Apps haben zum Teil noch technische Probleme und werden weiterentwickelt. Die ophthalmologischen Apps können bei Konsiluntersuchungen sehr nützlich sein, ersetzen aber keine komplette ophthalmologische Untersuchung. Bisher sind nur wenige Apps als Medizinprodukte zugelassen worden.

Zusammenfassung

Mit zunehmender Verbreitung von Smartphones haben Apps in der Augenheilkunde das Potenzial, eine Erleichterung in der klinischen Versorgung der Patienten, der Datenverarbeitung und der Kommunikation zu erzielen.

Schlüsselwörter

Smartphones Augenheilkunde Apps Medizinprodukt Medizinische Gebrauchsfähigkeit 

Smartphones in ophthalmology

Relief or toys for physicians?

Abstract

Introduction

Smartphones offer a number of so-called medical and ophthalmic “apps” and their use will be investigated in this survey.

Methods

An Internet analysis was performed to identify available medical “apps” and evaluate their utilization. Search engines, developers’ websites and webstores were screened with key words such as: “smartphone”, “medical apps” and “eye test”. The “apps” were evaluated for usability and with respective published reviews. In addition, an international survey among ophthalmologists asked about the use of a Smartphone and “apps” preferences. Direct inquiries were undertaken with developers on selected promising novel “apps”.

Results

The more than 70 identified “apps” examined were subdivided into different categories A) examining function, B) photo and video recordings, C) office, D) patient education and informed consent as well as E) medical continued education functions and literature searching. The survey determined the iPhone to be the most popular Smartphone among the sampled ophthalmologists worldwide. Many popular “apps” have become available only recently and hence suffer in part from some initial technical problems. Some ophthalmic “apps” are very helpful in the emergency room or during consultations. Only a few “apps” were approved as medical products and therefore cannot substitute a full ophthalmic examination.

Conclusions

The increasing distribution of Smartphone “apps” in ophthalmology may have the potential to facilitate patient treatment, data management and communication.

Keywords

Smartphones Ophthalmology “Apps” Medicinal product Medical utilization 

Literatur

  1. 1.
    Adatia FA (2007) Mobile computing for ophthalmologists. Techniques Ophthalmol 5:78–84CrossRefGoogle Scholar
  2. 2.
    Arden GB (1985) The use of computers in ophthalmology: an exercise in futurology. Trans Ophthalmol Soc U K 104(Pt 1):88–99PubMedGoogle Scholar
  3. 3.
    Aziz SR, Ziccardi VB (2009) Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning. J Oral Maxillofac Surg 67:2505–2509PubMedCrossRefGoogle Scholar
  4. 4.
    Barsam A, Bhogal M, Morris S et al (2010) Anterior segment slitlamp photography using the iPhone. J Cataract Refract Surg 36:1240–1241PubMedCrossRefGoogle Scholar
  5. 5.
    Benjamin L (2005) Selection, teaching and training in ophthalmology. Clin Experiment Ophthalmol 33:524–530PubMedCrossRefGoogle Scholar
  6. 6.
    Borasio E, Stevens J, Smith GT (2006) Estimation of true corneal power after keratorefractive surgery in eyes requiring cataract surgery: BESSt formula. J Cataract Refract Surg 32:2004–2014PubMedCrossRefGoogle Scholar
  7. 7.
    Choudhri AF, Radvany MG (2010) Initial experience with a handheld device digital imaging and communications in medicine viewer: OsiriX mobile on the iPhone. J Digit Imaging 24:184–189CrossRefGoogle Scholar
  8. 8.
    Ciemins E, Coon P, Sorli C (2010) An analysis of data management tools for diabetes self-management: Can smart phone technology keep up? J Diabetes Sci Technol 4:958–960PubMedGoogle Scholar
  9. 9.
    Devitt P, Smith JR, Palmer E (2001) Improved student learning in ophthalmology with computer-aided instruction. Eye (Lond) 15:635–639Google Scholar
  10. 10.
    Ducut E, Liu F, Fontelo P (2008) The cost of being wireless: a usage analysis of the „PubMed for Handhelds“ portal at the point-of-care. AMIA Annu Symp Proc 6:936Google Scholar
  11. 11.
    Franko OI, Tirrell TF (2011) Smartphone app use among medical providers in ACGME Training Programs. J Med Syst (im Druck)Google Scholar
  12. 12.
    Fulcher SF, Burris TE (1988) A computerized recall system for clinical trials. Ann Ophthalmol 20:10–16PubMedGoogle Scholar
  13. 13.
    Gamble KH (2009) Beyond phones. With the proper infrastructure, smartphones can help improve clinician satisfaction and increase EMR use. Healthc Inform 26:23–24, 26Google Scholar
  14. 14.
    Gandsas A, McIntire K, Park A (2004) Live broadcast of laparoscopic surgery to handheld computers. Surg Endosc 18:997–1000PubMedCrossRefGoogle Scholar
  15. 15.
    Helb HM, Charbel Issa P, Fleckenstein M et al (2010) Clinical evaluation of simultaneous confocal scanning laser ophthalmoscopy imaging combined with high-resolution, spectral-domain optical coherence tomography. Acta Ophthalmol 88:842–849PubMedCrossRefGoogle Scholar
  16. 16.
    Hutcheson KA (2007) Application of new ophthalmic technology in the pediatric patient. Curr Opin Ophthalmol 18:384–391PubMedCrossRefGoogle Scholar
  17. 17.
    Kampmeier J, Rau T, Liebhardt H et al (2011) Adoption of OSCE examination procedures in ophthalmology. Klin Monatsbl Augenheilkd 228:550–554PubMedCrossRefGoogle Scholar
  18. 18.
    Kawasaki S, Ito S, Satoh S et al (2003) Use of telemedicine in periodic screening of diabetic retinopathy. Telemed J E Health 9:235–239PubMedCrossRefGoogle Scholar
  19. 19.
    Kiser K (2011) 25 ways to use your smartphone. Physicians share their favorite uses and apps. Minn Med 94:22–29PubMedGoogle Scholar
  20. 20.
    Koshy E, Car J, Majeed A (2008) Effectiveness of mobile-phone short message service (SMS) reminders for ophthalmology outpatient appointments: observational study. BMC Ophthalmol 8:9PubMedCrossRefGoogle Scholar
  21. 21.
    Kreiner CF, Streufert D (2002) Intraocular pressure sensory system for continuous recording of intraocular pressure. Biomed Tech (Berl) 47(Suppl 1 Pt 1):179–180Google Scholar
  22. 22.
    Krohn R (2010) There’s an app for that-mHealth takes center stage. J Health Inf Manag 24:9–10Google Scholar
  23. 23.
    Kuchenbecker J, Parasta AM, Dick HB (2001) Internet-based teaching and learning in ophthalmology. Ophthalmologe 98:980–984PubMedCrossRefGoogle Scholar
  24. 24.
    Leon SA, Fontelo P, Green L et al (2007) Evidence-based medicine among internal medicine residents in a community hospital program using smart phones. BMC Med Inform Decis Mak 7:5PubMedCrossRefGoogle Scholar
  25. 25.
    Li HK (1999) Telemedicine and ophthalmology. Surv Ophthalmol 44:61–72PubMedCrossRefGoogle Scholar
  26. 26.
    Lobach DF, Waters MA, Keatts S et al. (2010) Integrating direct electronic collection of data from patients into the process of care for eye care professionals. AMIA Annu Symp Proc 2010:457–461PubMedGoogle Scholar
  27. 27.
    Loewenstein A, Malach R, Goldstein M et al (2003) Replacing the Amsler grid: a new method for monitoring patients with age-related macular degeneration. Ophthalmology 110:966–970PubMedCrossRefGoogle Scholar
  28. 28.
    Lord RK, Shah VA, San Filippo AN et al (2010) Novel uses of smartphones in ophthalmology. Ophthalmology 117:1274–1274 e1273PubMedCrossRefGoogle Scholar
  29. 29.
    Ly K (2011) MHealth: better health through your smartphone. Community Pract 84:16–17Google Scholar
  30. 30.
    Mellis CM (2008) Optimizing training: what clinicians have to offer and how to deliver it. Paediatr Respir Rev 9:105–112, quiz 112–103PubMedCrossRefGoogle Scholar
  31. 31.
    Menon A (2011) Confessions of a wilderness fellow: I can’t live without my smartphone, can you? Perm J 15:68–69PubMedGoogle Scholar
  32. 32.
    Meyer CH, Lapolice DJ (2008) Computer-based visual evaluation as a screening tool after intravitreal injections of vascular endothelial growth factor inhibitors. Ophthalmologica 222:364–368PubMedCrossRefGoogle Scholar
  33. 33.
    Ruano-Lopez JM, Agirregabiria M, Olabarria G et al (2009) The SmartBioPhone, a point of care vision under development through two European projects: OPTOLABCARD and LABONFOIL. Lab Chip 9:1495–1499PubMedCrossRefGoogle Scholar
  34. 34.
    Schlechtweg PM, Kuefner MA, Heberlein C et al (2011) A useful tool for routine radiological examinations: the iPhone application „KM Helper“. Radiologe 51:392–396PubMedCrossRefGoogle Scholar
  35. 35.
    Shah VA, Lord RK, San Filippo AN (2010) Smartphones in ophthalmology: potential uses of the smartphone in your practice In: Melendez R (Hrsg) Pearls in ophthalmology. Medrounds.orgGoogle Scholar
  36. 36.
    Silva RA, Murakami Y, Lad EM et al (2011) Stanford University network for diagnosis of retinopathy of prematurity (SUNDROP): 36-month experience with telemedicine screening. Ophthalmic Surg Lasers Imaging 42:12–19PubMedCrossRefGoogle Scholar
  37. 37.
    Stahl A, Boeker M, Ehlken C et al. (2009) Evaluation of an internet-based e-learning ophthalmology module for medical students. Ophthalmologe 106:999–1005PubMedCrossRefGoogle Scholar
  38. 38.
    Torre DM, Wright SM (2003) Clinical and educational uses of handheld computers. South Med J 96:996–999PubMedCrossRefGoogle Scholar
  39. 39.
    Werner RP, Mader TH, Chamberlain DG et al (2011) Adaptation of the iphone 4 to slit lamp telemedicine. Invest Ophthalmol Vis Sci 52:1346Google Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Universitäts-Augenklinik BonnBonnDeutschland
  2. 2.Klinik Pallas Eye Center OltenOltenSchweiz

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