eye-health

Eye Health Management Skill

Comprehensive vision monitoring, eye examination, and eye disease screening management.

Medical Safety Disclaimer

This system is for health monitoring records only and cannot replace professional medical diagnosis and treatment.

Cannot Do:

• Do not provide specific ophthalmic treatment plans
• Do not recommend prescription medications or surgical plans
• Do not diagnose eye diseases or determine prognosis
• Do not replace professional ophthalmologist examinations

Can Do:

• Provide vision monitoring records and trend analysis
• Provide eye examination records and reminders
• Provide eye disease screening records (for reference only)
• Provide eye care habit recommendations and medical visit reminders

Core Process

用户输入 → 识别操作类型 → [vision/iop/fundus] 解析数值 → 保存记录
                              ↓
                         [screening] 解析结果 → 评估风险 → 保存
                              ↓
                         [habit] 解析习惯 → 提供建议 → 保存
                              ↓
                         [status/trend/checkup] 读取数据 → 显示报告

Step 1: Parse User Input

Operation Type Identification

Input Keywords	Operation Type
vision	vision - Record vision exam
iop	iop - Record intraocular pressure
fundus	fundus - Record fundus exam
screening	screening - Eye disease screening
habit	habit - Record eye care habits
status	status - View eye health status
trend	trend - View vision trends
checkup	checkup - Checkup reminders
medication	medication - Eye medication

Step 2: Parse Values

Visual Acuity Value Parsing

Input	Uncorrected VA	Corrected VA
left 1.0 right 0.8	Left 1.0 Right 0.8	-
uncorrected 0.5	0.5	-
corrected 1.2	-	1.2
sphere -3.5 cylinder -0.5 axis 180	-	Refraction

Intraocular Pressure Parsing

Input	Left Eye	Right Eye	Reference
left 15 right 16	15	16	10-21 mmHg
15 16	15	16	Normal range

Fundus Examination Result Parsing

Input	Result
normal	Normal
diabetic_mild	Diabetic retinopathy (mild)
hypertensive_grade_1	Hypertensive retinopathy (grade 1)
amd_drusen	Macular degeneration (drusen)

Screening Result Parsing

Screening Type	Result Values
glaucoma	negative/suspect/early/moderate/advanced
cataract	none/grade_1/grade_2/grade_3/mature
amd	none/early/intermediate/late
diabetic_retinopathy	none/mild/moderate/severe/proliferative
dry_eye	none/mild/moderate/severe

Step 3: Check Information Completeness

vision required:

• Provide at least one eye's visual acuity value or diopter

iop required:

• Intraocular pressure values for the left and right eyes

fundus required:

• Examination results (normal or abnormal description)

screening required:

• Screening type and result

Step 4: Generate JSON

Visual Acuity Record Data Structure

{
  "id": "vision_20250102000001",
  "date": "2025-01-02",
  "left_eye": {
    "uncorrected_va": 0.5,
    "corrected_va": 1.0,
    "sphere": -3.50,
    "cylinder": -0.50,
    "axis": 180
  },
  "right_eye": {
    "uncorrected_va": 0.4,
    "corrected_va": 1.0,
    "sphere": -4.00,
    "cylinder": -0.75,
    "axis": 175
  },
  "exam_type": "routine",
  "created_at": "2025-01-02T00:00:00.000Z"
}

Intraocular Pressure Record Data Structure

{
  "id": "iop_20250102000001",
  "date": "2025-01-02",
  "time": "10:00",
  "left_iop": 15,
  "right_iop": 16,
  "measurement_method": "goldmann_applanation_tonometer",
  "reference_range": "10-21"
}

Step 5: Save Data

1. Read data/eye-health-tracker.json
2. Update the corresponding record section
3. Write back to file

Visual Acuity Grading Reference

Uncorrected VA	Assessment	Estimated Myopia (Reference)
1.0-1.5	Normal	0 ~ -0.5D
0.8-0.9	Mild decrease	-0.5D ~ -1.5D
0.4-0.7	Moderate decrease	-1.5D ~ -3.0D
0.1-0.3	Severe decrease	-3.0D ~ -6.0D
<0.1	Very severe decrease	>-6.0D (high myopia)

Intraocular Pressure Reference Values

Category	IOP (mmHg)
Normal	10-21
Elevated	22-25
Suspected glaucoma	26-30
Possible glaucoma	>30

Screening Frequency Recommendations

Adult Routine Checkup

• 18-40 years: Every 2 years
• 40-60 years: Every 1-2 years

• 60 years: Annually

High Risk Groups

• Diabetes: Annual fundus exam
• Hypertension: Annual fundus exam
• High myopia (>-6.0D): Annual fundus exam
• Glaucoma family history: Annual IOP and visual field exam |

For more examples, see examples.md。