大人的眼光 - - 查,诊断和治疗:一篇综述
Joshua D Stein1,2,3, Anthony P Khawaja4, Jennifer S Weizer1
1W.K. Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor.
JAMA
|January 12, 2021
概括
主要医疗保健医生可以通过识别患有眼风险的患者来预防不可逆转的失明. 早期转诊进行眼科检查和监测诸如眼内压升高等危险因素对于及时诊断和治疗至关重要.
科学领域:
- 眼科 眼科
- 公共卫生
背景情况:
- 眼病是全球不可逆转失明的主要原因,在早期通常没有症状.
- 这是一种渐进的视神经病变,由于视神经和视网膜神经纤维层损伤导致视力丧失.
研究的目的:
- 为初级保健医生提供有关眼风险因素,查和转诊标准的信息.
- 审查开角和窄角眼的病理生理学,风险因素,查,监测和治疗.
主要方法:
- 对玻璃眼病理学,危险因素和诊断方法的审查.
- 讨论治疗方式,包括药物,激光和手术.
主要成果:
- 眼内压力升高是青光眼的主要可改变的危险因素.
- 风险因素包括年龄,非白人种族,家族病史和某些全身性疾病/药物 (例如皮质类固醇).
- 诊断工具包括眼内压力测量,周边测量和光学连贯性断层扫描.
结论:
- 早期发现和治疗眼症可以减少视力损失.
- 主要医疗保健医生在识别有风险的患者及时转诊和确保患者坚持治疗方面发挥着至关重要的作用.
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