在2019年新冠肺炎疫情期间,对玻璃眼病患者的视觉现场检查的遵守
Pei-Yao Chang1,2,3,4, Yu-Han Wang1, Jiun-Yi Wang2,5
1Department of Ophthalmology, Far Eastern Memorial Hospital, Ban-Chiao, New Taipei City, Taiwan.
Medicine
|October 6, 2023
概括
在COVID-19爆发期间,只有18.14%的青光眼患者参加了预定视野 (VF) 考试. 疑似青光眼患者和有选择性激光膜整形 (SLT) 史的人更好地遵守VF测试.
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:
- 2019年新冠病毒病 (COVID-19) 流行病严重扰乱了全球的医疗保健服务.
- 坚持定期监测,如视野 (VF) 检查,对于控制青光眼的进展至关重要.
- 了解影响公共卫生危机期间遵守的因素对于维持患者护理至关重要.
研究的目的:
- 在台湾COVID-19爆发期间,确定青光眼患者在预定视野 (VF) 检查中的坚持率.
- 在这个患者群体中确定与遵守VF检查相关的临床因素.
主要方法:
- 在2021年5月25日至7月12日期间,计划进行VF检查的204名青光眼患者的回顾性评估.
- 收集的数据包括青光眼的类型,眼内压 (IOP),抗青光眼药物,青光眼病史,VF缺陷的平均偏差 (MD) 和青光眼进展状态.
- 使用单变量和多变量逻辑回归分析来评估坚持和临床因素之间的关联.
主要成果:
- 只有37名患者 (18.14%) 遵守了他们预定的VF检查.
- 大多数患者患有开角玻璃眼 (78.9%) 和轻微的VF缺陷 (41.2%).
- 多变量分析显示,怀疑青光瘤的诊断 (P=.02) 和选择性激光形造形 (SLT) 的病史 (P=.04) 与更好的坚持有显著联系.
结论:
- 随着COVID-19的流行,对格洛科马患者的VF检查的坚持产生了重大影响.
- 被诊断为疑似绿眼病的患者和有SLT病史的患者表现出更高的坚持VF检查的可能性,即使是在大流行期间.
- 这些发现强调了需要有针对性的策略,以确保在公共卫生紧急情况期间持续监测脆弱的青光眼患者群体.
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