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德莫德克斯白炎与白内障手术有关吗?

Ilan Feldman1, Judit Krausz2, Oz Levinkron1

  • 1From the Department of Ophthalmology, Emek Medical Center, Afula, Technion, Faculty of Medicine, Israel (I.F., O.L., J.G., D.B., N.E.).

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概括

白内障手术和类固醇眼滴显著增加了眼上的Demodex虫殖民. 眼科医生应考虑在手术后持续眼部不适的患者中治疗Demodex白炎.

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科学领域:

  • 眼科医生 眼科 眼科
  • 微生物学 微生物学

背景情况:

  • 德莫德克斯虫是人类皮肤和毛的常见居民.
  • 白内障手术是一种普遍的眼科手术.
  • 在白内障手术后,术后局部类固醇的使用是标准的.

研究的目的:

  • 为了调查白内障提取手术后眼上Demodex虫殖民的发生率.
  • 评估手术后局部类固醇治疗对Demodex殖民化的影响.

主要方法:

  • 一项前性非比较性临床研究,涉及62名接受白内障手术的患者.
  • 在手术前和手术后3周收集毛样本并检查Demodex虫.
  • 根据需要,患者接受了标准的术后局部类固醇治疗.

主要成果:

  • 在手术前检测到的Demodex殖民是在22.58%的样本中检测到的,并在手术后增加到32.26% (P = 0.0143).
  • 在白内障手术和类固醇治疗后,观察到Demodex殖民的统计学上显著增加.
  • 在男性和女性之间没有注意到Demodex患病率的显著差异.

结论:

  • 白内障手术与局部类固醇治疗相结合,导致Demodex毛殖民的显著增加.
  • 眼科医生应考虑在患有白内障手术后出现慢性眼部不适的患者中治疗Demodex白内障.
  • 增加的Demodex殖民需要考虑其在术后眼部症状中的作用.