移植1年后患者的眼睛病变
Nguyen Le Trung1,2, Pham Quoc Toan3, Nguyen Kien Trung4
1Vietnam Department of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam.
Clinical ophthalmology (Auckland, N.Z.)
|October 6, 2023
概括
移植脏的患者经常出现视网膜病变和干眼病变等眼睛病变. 白内障与糖尿病和类固醇使用有关,而视神经缩与移植后感染有关.
科学领域:
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植医学 移植医学 移植医学
背景情况:
- 移植脏是一种救命的手术.
- 移植后的并发症会影响包括眼睛在内的各种器官系统.
- 了解移植患者的眼睛健康对于长期患者护理至关重要.
研究的目的:
- 为了确定移植患者在移植后一年内出现特定眼睛病变的发生率.
- 确定与这些眼部并发症的发展相关的因素.
主要方法:
- 进行了一项横截面研究.
- 在103军医院评估了111名移植患者 (222只眼睛).
- 评估的眼部病变包括干眼,角膜结膜化,白内障和视网膜病变.
主要成果:
- 观察到高发病率:视网膜病变 (84.7%),干眼 (59.5%),白内障 (29.7%) 和角膜结膜化 (24.8%).
- 与白内障相关的因素包括普得尼索隆剂量 (OR=1.6) 和移植后糖尿病 (OR=1.4).
- 移植后的系统性感染与视神经缩有关 (OR=2.4).
结论:
- 视网膜病变和干眼症在移植患者中非常普遍.
- 白内障的发展受到糖尿病和普得尼索隆剂量的影响.
- 视神经缩与移植后感染有关.
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