在神经关键病患者中描述异症
Ciji Saju1, Arianna Barnes2, Joji B Kuramatsu3
1Ciji Saju is an assistant nurse manager, University of Texas Southwestern Medical Center, Dallas, Texas.
概括
无异色素症的定义 (不平等的瞳孔大小) 根据使用的测量切割点有很大差异. 需要一个普遍的定义,因为在光刺激之前和之后的结果不同.
科学领域:
- 眼科医生 眼科 眼科
- 医学诊断 医学诊断 医学诊断
背景情况:
- 无视眼,或不平等的瞳孔大小,缺乏标准化的定义,绝对瞳孔大小差异的切断点范围很广.
- 以前的定义从>0.3毫米到>2.0毫米不等.
研究的目的:
- 探索不同瞳孔直径切割点对无异性病评估的影响.
- 通过量化瞳孔测量在光刺激之前和之后评估异性.
主要方法:
- 一项利用国际注册数据的探索性描述性研究.
- 在光刺激之前和之后,对瞳孔大小进行了定量瞳孔测量测量.
- 包括来自5769名患者的左和右瞳孔对称测量.
主要成果:
- 在光刺激前,有28.2%的患者出现了无光眼 (>0.5毫米的差异),在光刺激后,有39.7%的患者出现了无光眼 (P < .001).
- 在光刺激前的1.4%,在光刺激后的53.2% (P < .001) 呈现出异色心 (>2.0毫米的差异).
- 不到一半的患者在刺激前患有无异性,在大多数切割点的刺激后也患有.
结论:
- 异症的患病率和检测受到所选择的切割点和光刺激的显著影响.
- 由于在不同的标准上观察到的深刻差异,对无异性病的普遍定义至关重要.
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