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Ophthalmic emergencies are acute vision-threatening disorders, for which a delay in prompt emergency response could result in catastrophic vision loss. Triage is an effective process for ensuring that timely emergency care is provided despite limited resource by prioritizing patients to appropriate orders for visits. Historically, registered nurses classify emergency patients based on personal experiences with high variation. Additionally, primary healthcare providers have been conventionally at the forefront of providing first aid care. However, most of ocular emergencies are wrongly diagnosed or referred due to non-eye specialists' limited knowledge and training in the ophthalmology.
Here, the investigators established and validated an artificial intelligence system, EE-Explorer, to triage eye emergencies and assist in primary diagnosis using metadata and ocular images. This system has been integrated into a website to be prospectively validated in the real world.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Eligible participants for AI-based ophthalmic emergency triage and primary diagnosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Artificial intelligent system for eye emergency triage and primary diagnosis | Diagnostic Test | An intelligent triage and diagnostic system for ophthalmic emergencies has been developed. In the prospective test, patients with acute ocular symptoms can achieve remote self-triage and primary diagnosis after uploading metadata and ocular images. |
| Measure | Description | Time Frame |
|---|---|---|
| The accuracy of the triage model | Use the triage model to classify patients with acute ocular symptoms, and count the proportion of correct classification. | 2023.1 |
| Measure | Description | Time Frame |
|---|---|---|
| The accuracy of the primary diagnostic model | Use the primary diagnostic model to diagnose patients with ophthalmic emergencies, and count the proportion of correct diagnosis in all patients. | 2023.1 |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptance of the patients | Questionnaire scores | 2023.1 |
Inclusion Criteria:
Exclusion Criteria:
The image quality does not meet the clinical requirements.
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Through the online popular science, news reports, and other channels, we will promote and inform patients about the relevant knowledge of ophthalmic emergencies, so that they can judge by themselves and freely decide whether to participate in this study or not.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Haotian Lin, M.D., Ph.D | Contact | 8613802793086 | haot.lin@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhongshan Ophthalmic Center, Sun Yat-sen Univerisity | Recruiting | Guangzhou | Guangdong | 510060 | China |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| D005128 | Eye Diseases |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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