eye-health

name	eye-health
description	Manage comprehensive eye health tracking including vision records, intraocular pressure, fundus exams, eye disease screening, habits, and checkup reminders. Use for vision monitoring, glaucoma/cataract screening, and eye care management.
argument-hint	<操作类型 视力/眼压/检查结果，如：vision left 1.0 right 0.8>
allowed-tools	Read, Write
schema	eye-health/schema.json

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

核心流程

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

步骤 1: 解析用户输入

操作类型识别

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

步骤 2: 解析数值

视力数值解析

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

眼压解析

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

眼底检查结果解析

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

筛查结果解析

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

步骤 3: 检查信息完整性

vision 必填:

• 至少提供一只眼的视力值或屈光度数

iop 必填:

• 左眼和右眼的眼压值

fundus 必填:

• 检查结果（正常或异常描述）

screening 必填:

• 筛查类型和结果

步骤 4: 生成 JSON

视力记录数据结构

{
  "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"
}

眼压记录数据结构

{
  "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"
}

步骤 5: 保存数据

1. 读取 data/eye-health-tracker.json
2. 更新对应记录段
3. 写回文件

视力分级参考

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)

眼压参考值

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

筛查频率建议

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 |

更多示例参见 examples.md。