发生在接受激素治疗的跨性别患者眼部发现的情况
Christian Nieves-Ríos1,2, Jose S Pulido3, Sarah Thornton4
1Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA.
American journal of ophthalmology case reports
|December 11, 2023
概括
接受激素治疗的跨性别患者的眼科发现有所不同,包括神经疾病,如女性对男性 (FTM) 个体的异常性脑内高血压和男性对女性 (MTF) 个体的胆关节疾病. 眼科医生应该意识到这些潜在的眼部表现.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 跨性别者健康 跨性别者健康
背景情况:
- 人们越来越多地使用性别确认激素治疗 (GAHT).
- 对GAHT的眼科效应需要进一步研究.
- 了解跨性别个体的眼部表现对于综合护理至关重要.
研究的目的:
- 描述经过GAHT的跨性别患者眼科表现的范围.
- 为了识别与丸激素和雌激素疗法相关的常见眼部疾病.
主要方法:
- 在GAHT.上对跨性别患者 (FTM和MTF) 的回顾性图表审查.
- 数据收集包括人口统计,激素治疗,临床发现和视觉结果.
- 收集数据的描述性分析.
主要成果:
- 分析了17名患者 (7名FTM,10名MTF).
- 在FTM患者中,主要出现神经疾病 (71.4%),特别是异常性内高血压.
- 在MTF患者中,主要表现出胆管关节疾病 (40.0%).
- 视力敏度各不相同,最后一次视察时的视力敏度中位数为FTM的20/50和MTF的20/25.
结论:
- 接受GAHT治疗的跨性别患者表现出各种各样的眼科发现.
- 虽然并没有确立因果关系,但对于临床医生来说,意识到这些眼部疾病是必不可少的.
- 眼科医生应该准备好诊断和管理这些特定的患者群体.
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