Skip to main content
SpringerLink
Log in

Smartphones in der Augenheilkunde

Erleichterung oder Spielerei für den Augenarzt?

Smartphones in ophthalmology

Relief or toys for physicians?

  • Leitthema
  • Published:
Der Ophthalmologe Aims and scope Submit manuscript

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.

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Adatia FA (2007) Mobile computing for ophthalmologists. Techniques Ophthalmol 5:78–84

    Article  Google Scholar 

  2. Arden GB (1985) The use of computers in ophthalmology: an exercise in futurology. Trans Ophthalmol Soc U K 104(Pt 1):88–99

    PubMed  Google Scholar 

  3. Aziz SR, Ziccardi VB (2009) Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning. J Oral Maxillofac Surg 67:2505–2509

    Article  PubMed  Google Scholar 

  4. Barsam A, Bhogal M, Morris S et al (2010) Anterior segment slitlamp photography using the iPhone. J Cataract Refract Surg 36:1240–1241

    Article  PubMed  Google Scholar 

  5. Benjamin L (2005) Selection, teaching and training in ophthalmology. Clin Experiment Ophthalmol 33:524–530

    Article  PubMed  Google Scholar 

  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 32:2004–2014

    Article  PubMed  Google Scholar 

  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 24:184–189

    Article  Google Scholar 

  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 4:958–960

    PubMed  Google Scholar 

  9. Devitt P, Smith JR, Palmer E (2001) Improved student learning in ophthalmology with computer-aided instruction. Eye (Lond) 15:635–639

    Google Scholar 

  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 6:936

    Google Scholar 

  11. Franko OI, Tirrell TF (2011) Smartphone app use among medical providers in ACGME Training Programs. J Med Syst (im Druck)

  12. Fulcher SF, Burris TE (1988) A computerized recall system for clinical trials. Ann Ophthalmol 20:10–16

    PubMed  CAS  Google Scholar 

  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, 26

    Google Scholar 

  14. Gandsas A, McIntire K, Park A (2004) Live broadcast of laparoscopic surgery to handheld computers. Surg Endosc 18:997–1000

    Article  PubMed  CAS  Google Scholar 

  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 88:842–849

    Article  PubMed  Google Scholar 

  16. Hutcheson KA (2007) Application of new ophthalmic technology in the pediatric patient. Curr Opin Ophthalmol 18:384–391

    Article  PubMed  Google Scholar 

  17. Kampmeier J, Rau T, Liebhardt H et al (2011) Adoption of OSCE examination procedures in ophthalmology. Klin Monatsbl Augenheilkd 228:550–554

    Article  PubMed  CAS  Google Scholar 

  18. Kawasaki S, Ito S, Satoh S et al (2003) Use of telemedicine in periodic screening of diabetic retinopathy. Telemed J E Health 9:235–239

    Article  PubMed  Google Scholar 

  19. Kiser K (2011) 25 ways to use your smartphone. Physicians share their favorite uses and apps. Minn Med 94:22–29

    PubMed  Google Scholar 

  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 8:9

    Article  PubMed  Google Scholar 

  21. Kreiner CF, Streufert D (2002) Intraocular pressure sensory system for continuous recording of intraocular pressure. Biomed Tech (Berl) 47(Suppl 1 Pt 1):179–180

    Google Scholar 

  22. Krohn R (2010) There’s an app for that-mHealth takes center stage. J Health Inf Manag 24:9–10

    Google Scholar 

  23. Kuchenbecker J, Parasta AM, Dick HB (2001) Internet-based teaching and learning in ophthalmology. Ophthalmologe 98:980–984

    Article  PubMed  CAS  Google Scholar 

  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 7:5

    Article  PubMed  Google Scholar 

  25. Li HK (1999) Telemedicine and ophthalmology. Surv Ophthalmol 44:61–72

    Article  PubMed  CAS  Google Scholar 

  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 2010:457–461

    PubMed  Google Scholar 

  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 110:966–970

    Article  PubMed  Google Scholar 

  28. Lord RK, Shah VA, San Filippo AN et al (2010) Novel uses of smartphones in ophthalmology. Ophthalmology 117:1274–1274 e1273

    Article  PubMed  Google Scholar 

  29. Ly K (2011) MHealth: better health through your smartphone. Community Pract 84:16–17

    Google Scholar 

  30. Mellis CM (2008) Optimizing training: what clinicians have to offer and how to deliver it. Paediatr Respir Rev 9:105–112, quiz 112–103

    Article  PubMed  Google Scholar 

  31. Menon A (2011) Confessions of a wilderness fellow: I can’t live without my smartphone, can you? Perm J 15:68–69

    PubMed  Google Scholar 

  32. Meyer CH, Lapolice DJ (2008) Computer-based visual evaluation as a screening tool after intravitreal injections of vascular endothelial growth factor inhibitors. Ophthalmologica 222:364–368

    Article  PubMed  CAS  Google Scholar 

  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 9:1495–1499

    Article  PubMed  CAS  Google Scholar 

  34. Schlechtweg PM, Kuefner MA, Heberlein C et al (2011) A useful tool for routine radiological examinations: the iPhone application „KM Helper“. Radiologe 51:392–396

    Article  PubMed  CAS  Google Scholar 

  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.org

  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 42:12–19

    Article  PubMed  Google Scholar 

  37. Stahl A, Boeker M, Ehlken C et al. (2009) Evaluation of an internet-based e-learning ophthalmology module for medical students. Ophthalmologe 106:999–1005

    Article  PubMed  CAS  Google Scholar 

  38. Torre DM, Wright SM (2003) Clinical and educational uses of handheld computers. South Med J 96:996–999

    Article  PubMed  Google Scholar 

  39. Werner RP, Mader TH, Chamberlain DG et al (2011) Adaptation of the iphone 4 to slit lamp telemedicine. Invest Ophthalmol Vis Sci 52:1346

    Google Scholar 

Download references

Danksagung

Bei der Bearbeitung dieses aktuellen Themas waren wir auf die konstruktive Mitarbeit vieler Kollegen angewiesen, die uns viele wertvolle Hinweise gegeben und auf aktuelle Entwicklungen hingewiesen haben. Namentlich danken wir: Deutschland: Sandra Liakopolus, Hans Martin Helb, Norbert Bornfeld, Alex Cunea, Martina Herwig; USA: Anne Fung, Clement Chan, Mark Blumenkranz, Vinay Shah, Miri Englander; Brasilien: Eduardo B. Rodrigues; Indien: Saxena Sandeep; China: Fung Liu, Zengping Liu; Österreich: Stefan Mennel; Schweiz: Marc T. Kammann.

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht. Die Autoren erheben explizit keinen Anspruch auf Vollständigkeit und/oder Richtigkeit in der Darstellung der hier erwähnten Apps.

Author information

Authors and Affiliations

  1. Universitäts-Augenklinik Bonn, Ernst-Abbe-Str. 2, 53127, Bonn, Deutschland

    B.V. Stanzel

  2. Klinik Pallas Eye Center Olten, Olten, Schweiz

    C.H. Meyer

Authors
  1. B.V. Stanzel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C.H. Meyer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B.V. Stanzel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stanzel, B., Meyer, C. Smartphones in der Augenheilkunde. Ophthalmologe 109, 8–20 (2012). https://doi.org/10.1007/s00347-011-2425-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00347-011-2425-7

Schlüsselwörter

Keywords

Search

Navigation