李志勇+金晨晖+廖素华

摘要： 远程医疗技术应用是卫生信息化的主要建设内容，也是医疗信息平台之智慧医疗建设的主要任务之一。本研究将开发一种能应用于远程诊断人眼屈光不正的技术，该技术将对广泛人群眼屈光状态的筛查和及时处理具有重要作用和意义。目前常用的屈光不正检查方法有三种，分别是电脑验光、摄影验光和视网膜检影验光。本研究将基于视网膜检影技术原理，结合数字影像识别技术，开发一套远程诊断技术装置。该技术装置具有视频显示眼底影动功能，可存储影像信息、传递诊断信息，使检查者更能直观、简易、准确地诊断人眼屈光不正，特别是针对老人、儿童、残障等沟通有障碍的患者，其影像识别程序可辅助检查者（特别针对非专业人士）判断屈光不正诊断，适用于家庭、学校、社康中心和医院等场所使用。系统中的影像、视频存储和数据传输功能可供临床医生共享屈光诊断电子病历和远程诊断。

关键词：屈光不正；远程诊断；数字化；影像

中图分类号：TP18 文献标识码：A 文章编号：1009-3044（2016）08-0171-04

Abstract： Telemedicine application is the main construction content of health information technology， is also one of the main tasks of smart medical health information platform construction. This study will develop a application of the remote diagnosis technology of myopia diagnosis. The technology has important f and profound significance for myopia diagnosis and treatment. There are three methods of ametropia inspection technology such as computer optometry technology， photography optometry and retina shadow optometry technology at present. Unfortunately these detection equipments are not only expensive， but also need strong professional knowledge and skills， which leads to an clinician mastering the skill is very difficult. In order to overcome the above disadvantages， we use retinoscopy theory combining with the digital image technology to develop a myopia inspection technology suitable for household， and reduce the difficulty of optometry check. The technology has the following characteristics such as video display eye shadow， Image recognition program aided inspectors to determine ametropia diagnosis ， store image information， transfer diagnostic information and so on. Which make the inspectors more intuitive， simple and accurate diagnosis of myopia. The system is suitable for families ，school， community healthy center and hospital， Especially for the elderly， children， the disabled and other communication disorders of the patients. The functions such as images and video storage ，data transmission is available for clinicians to share myopia diagnosis of electronic data and remote diagnosis.

Key words： ametropia ； remote diagnosis； digital； image

1 概述

远程医疗技术应用是卫生信息化的重要建设内容，也是医疗信息平台之智慧医疗建设的主要任务之一。本研究将开发一种能应用于远程诊断人眼屈光不正的技术，该技术将对广泛人群眼屈光状态的筛查和及时处理具有重要作用和意义。目前常用的屈光不正检查方法有三种，分别是电脑验光、摄影验光和视网膜检影验光。……