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贫血视网膜病变的决定因素

Ramesh Venkatesh¹, Nikitha Gurram Reddy¹, Chaitra Jayadev¹

¹Department of Retina and Vitreous, Narayana Nethralaya, Bangalore, India.

Beyoglu eye journal

|July 31, 2023

概括

贫血会导致视网膜病变,这种疾病会影响视力. 低血红蛋白和血红素水平是这种风险的关键指标,建议贫血患者定期进行眼科检查.

科学领域:

眼科医生眼科眼科
血液学血液学血液学
视网膜疾病视网膜疾病

背景情况:

贫血是一种红细胞数量低的特征,可以导致各种并发症.
视网膜病变,视网膜中的血管损伤,是系统性疾病的潜在并发症.
贫血和视网膜病变之间的关系需要进一步调查,以确定风险因素.

研究的目的:

为了确定患有贫血的患者中 fundus 病变的患病率.
确定与贫血视网膜病变 (AR) 相关的血液学风险因素.
用接收器操作特征 (ROC) 曲线分析分析AR的血红蛋白和血红素水平的预测值.

主要方法:

一项回顾性研究包括了被诊断患有贫血的成年患者,并接受扩张 fundus 检查.
贫血视网膜病变的诊断是基于特定的 funduscopic 发现,如出血,罗斯斑点和排泄物.
二次性贫血患者被排除在外,血液学参数与AR的存在或不存在相关.

主要成果:

在30%的研究眼睛中观察到贫血视网膜病变.
与没有AR的患者相比,AR患者的平均血红蛋白 (7.82±1.64 gm/dl) 和血红素 (26.93±5.22%) 水平显著降低.
接收器操作特征 (ROC) 曲线分析表明,血红蛋白<8.95 g/dl和血红素<30.5%是AR的显著预测因素.

结论:

视网膜病变是严重贫血患者的常见发现.
低血红蛋白和血红素水平是发展贫血视网膜病变的重要危险因素.
对于被诊断患有贫血的患者,特别是那些血液学参数较低的患者,建议定期进行视网膜检查.

关键词:

贫血贫血是一种疾病.贫血性视网膜病变是一种贫血性视网膜病变.血红蛋白血红蛋白是一个包装的细胞体积的容量.风险因素风险因素

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