眼类型的患病率,临床概况和病情严重程度:来自南印度的第三级研究所的横截面研究
Praveen Kumar Seth1, Sirisha Senthil1, Anthony Vipin Das2
1Department of Glaucoma, VST Centre for Glaucoma Care, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Indian journal of ophthalmology
|October 3, 2023
概括
青光眼的亚型,包括初级开角 (POAG) 和初级闭角疾病 (PACD),在印度很普遍. 许多患者出现了晚期玻璃眼瘤,表明需要早期检测和干预.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 玻璃眼是全球不可逆转的失明的主要原因.
- 了解特定的亚型及其流行率对于有针对性的公共卫生干预至关重要.
- 高等保健中心在管理复杂的玻璃眼病例方面发挥着至关重要的作用.
研究的目的:
- 为了确定各种青光眼亚型的临床形状和相对患病率.
- 在呈现时分析初级和二级玻璃眼的特征.
- 评估在印度的第三级护理机构诊断光瘤时的严重程度.
主要方法:
- 一个横截面的,基于医院的研究,涉及6120名新成年患者,超过两年.
- 数据收集利用电子医疗记录系统提供全面的患者信息.
- 分析包括对青光眼亚型的分类,患者人口统计,眼内压力 (IOP),光盘损伤 (CDR) 和视野缺陷.
主要成果:
- 初级玻璃眼 (71.1%) 比二次玻璃眼 (17.4%) 更常见.
- 主要开角青光眼 (POAG) 和主角关闭性疾病 (PACD) 是最常见的亚型.
- 显著比例的眼睛 (39.5%) 呈现出晚期青光眼 (平均偏差≤-20dB),其中PACD的比率更高,青少年开角青光眼 (JOAG),伪剥皮青光眼 (PXG) 和类固醇诱导的青光眼 (SIG).
结论:
- 印度第三级护理中心的玻璃眼呈现显示了初级玻璃眼亚型的高负担.
- 很大一部分患者在初步诊断时表现出晚期疾病,这突出了早期检测的挑战.
- 像PACD,JOAG,PXG和SIG这样的特定亚型在呈现时与更严重的疾病有关.
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