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相关概念视频

Glaucoma: Overview01:25

Glaucoma: Overview

614
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
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Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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相关实验视频

Updated: Jul 15, 2025

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
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一个原型协议,用于评估现实世界的数据集,使用一个结构化的电子健康记录在格洛科马.

Sakari Sulonen1, Sanna Leinonen1,2, Eemil Lehtonen1

  • 1Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Acta ophthalmologica
|September 27, 2023
PubMed
概括

一个新的青光眼电子医疗记录 (EHR) 系统捕获真实世界的数据,使得诊所之间的比较. 该系统有效地记录了视神经头部,视网膜神经纤维层和视野测试的临床评估.

关键词:
电子健康记录 电子健康记录玻璃眼 glaucoma 玻璃眼 玻璃眼 玻璃眼 玻璃眼现实世界的数据数据.报告协议 报告协议

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相关实验视频

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科学领域:

  • 眼科医生 眼科 眼科
  • 医疗信息学 医疗信息学
  • 公共卫生 公共卫生

背景情况:

  • 眼的管理需要持续的监测和数据收集.
  • 电子医疗记录 (EHR) 提供了在专业诊所结构化数据捕获的潜力.
  • 现实世界的数据对于评估临床指南和护理途径的有效性至关重要.

研究的目的:

  • 报告从原型眼特异性结构化EHR的第一年的真实世界数据.
  • 建立监测和评估日复一日格洛科马护理的基线.
  • 评估结构化电子健康记录数据对格洛科马管理的可行性和有用性.

主要方法:

  • 2019年,芬兰Tays眼科中心实施了一项针对青光眼的特殊电子眼科诊断系统.
  • 经过培训的护士输入了患者数据,而格劳科马专家则对这些数据进行了审查.
  • 根据芬兰当前护理指南,对视神经头部 (ONH),视网膜神经纤维层 (RNFL) 和视野 (VF) 的评估采用"三分之二"规则.

主要成果:

  • 在95%-100%的眼睛中记录了ONH,RNFL和VF的临床评估.
  • 与RNFL (33%) 和VF测试 (30%) 相比,视神经头部 (ONH) 更频繁地被评估为玻璃眼 (44%),而RNFL (33%) 和VF测试 (30%) 更频繁.
  • 在35%的"≥2/3绿眼组"中发现了渐进性变化,而在其他组中为2%-9%. 平均眼内压力 (IOP) 为15mmHg,目标眼内压力为17mmHg,记录在94%的眼睛中.

结论:

  • 结构化的EHR有助于在不同诊所和不同人群中比较现实世界眼病数据.
  • 与英国数据集相比,泰斯眼科中心的青光眼疑似访问比例较低,测试间隔较长.
  • 开发的EHR系统为标准化的青光眼护理监测和研究提供了有价值的工具.