视网膜脱落患者的同伴眼睛:视力和临床表现
A Ibanga1, O N Okonkwo2, W Ovienria3
1Department of Ophthalmology, University of Calabar Teaching Hospital, Calabar, Nigeria.
Nigerian journal of clinical practice
|October 4, 2023
概括
一只眼睛的视网膜脱落 (RD) 患者面临着在另一只眼睛中发展RD的高风险,特别是引性RD. 早期发现和预防性治疗风湿性RD至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 公共卫生 公共卫生
背景情况:
- 一只眼睛的视网膜脱落 (RD) 对另一只眼睛构成重大风险.
- 了解其他眼睛参与的发生率和特征对于患者的治疗结果至关重要.
研究的目的:
- 为了确定视网膜脱落 (RD) 中的双边性率.
- 评估RD患者同伴眼中的视力敏度 (VA) 和眼部发病率.
主要方法:
- 在尼日利亚四家眼科医院进行了一项多中心,前性,横截面研究.
- 连续 RD 患者的同伴眼睛在一年内检查了人口统计学,VA 和临床发现.
主要成果:
- 11.4%的患者在同伴眼中发展了RD,双边性率为4.2%的风湿性 (RRD),11.1%的排泄性 (ERD) 和31.1%的引力RD (TRD).
- RD诊断增加了同眼RRD和TRD的风险 (P < 0.001). 一只眼睛的RRD对另一只眼睛的RRD风险为17%.
- 其他眼睛有显著的视力损伤:RRD中25.2%的盲人,54.1%的TRD和11.1%的ERD. 40.5%的人有其他眼部疾病.
结论:
- 一只眼睛有RD的患者有很大的风险在另一只眼睛中发展盲目的RD.
- 风险因RD类型而异,TRD的风险最高.
- 预防性措施对其他眼睛的病变产生倾向是有益的,特别是对于RRD.
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