在初级保健中预防慢性眼病导致的视力损失:科学综述
Susannah Rowe1, Catherine H MacLean, Paul G Shekelle
1Department of Ophthalmology, Boston University School of Medicine, Boston, Mass 02119, USA. srowe@bu.edu
JAMA
|March 25, 2004
概括
建议老年人定期进行眼科检查,以检测视力丧失. 初级保健医生可以通过管理系统性疾病并确保患者及时获得眼科护理来帮助维护视力.
科学领域:
- 眼科医生 眼科 眼科
- 初级医疗保健医学 一级医疗保健医学
- 公共卫生 公共卫生
背景情况:
- 视力丧失的患病率随着年龄的增长而增加,影响生活质量和受伤风险.
- 很大一部分失明是可以预防或治疗的,但许多病例仍未被诊断出来.
- 未经治疗的视力丧失构成了相当大的公共卫生挑战.
研究的目的:
- 审查初级保健中成年人眼部疾病和视力障碍的查和管理的证据.
- 为初级保健临床医生提供有关他们在维护视力的作用的信息.
主要方法:
- 在数据库 (MEDLINE,EMBASE,Cochrane) 和指导方针 (1985-2003) 中进行全面的文献搜索.
- 在初级保健中包括关于成人眼病查和管理的文章和指导方针.
- 强调随机对照试验和专家推的参考资料.
主要成果:
- 主要指导方针建议老年人定期进行全面的眼睛评估.
- 在初级保健中,常规视力查的价值尚未确定.
- 系统性疾病 (糖尿病,高血压) 的有效管理可以降低眼睛疾病的风险.
结论:
- 初级保健临床医生对于保持患者视力至关重要.
- 管理影响眼睛健康的系统性疾病是关键.
- 确保定期的眼科专业人员评估对于维护视力至关重要.
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