贝尔现象的临床等级的眼睛表面病变
Omer Faruk Yilmaz1, Halit Oguz1,2
1Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Department of Ophthalmology, Istanbul, Turkey.
概括
贝尔现象的新分级尺度 (眼皮眼镜反射) 显示,健康个体也可能出现反向贝尔现象. 眼睛表面病变在那些具有较低级别贝尔现象的人中更为频繁.
科学领域:
- 眼科医生 眼科 眼科
- 眼睛生理学 眼睛生理学
- 角膜保护 角膜保护
背景情况:
- 贝尔现象,眼眼镜反射,对于角膜保护至关重要.
- 为贝尔现象开发了一种新的,实用的分级表,将反向贝尔现象纳入其中.
- 该研究调查了贝尔的现象特征跨年龄组和眼睛表面病变频率.
研究的目的:
- 开发和验证贝尔现象的简单分级尺度,包括反向类型.
- 评估贝尔现象在不同年龄的人口结构中的无症状个体中的患病率和特征.
- 确定贝尔现象等级与眼睛表面病变的发生之间的关联.
主要方法:
- 一项横截面研究包括165名健康无症状个体的330只眼睛 (年龄组:4-20,21-40,41-60,>60岁).
- 还包括40名患有眼睛表面病变和缺席+2级贝尔现象的症状组.
- 贝尔现象的分级从+2 (强正) 到-2 (强逆),0级表示没有反射.
主要成果:
- 贝尔现象等级的频率随年龄 (P < 0.001) 显著变化,60岁以上的个体中较低等级+2的患病率.
- 两性中最常见的是+2级;0级在27.1%的男性和22.1%的女性中观察到.
- 与强烈贝尔现象 (P < 0.001) 相比,在0级和所有其他等级的个体中,眼睛表面病变的发生频率明显高 (P < 0.001).
结论:
- 反向贝尔现象可能存在于健康个体中,并可能提供一些眼部保护.
- 0级和+1级贝尔现象可能与双边结膜化或Vogt肢体腰带有关.
- 建议进行进一步的大规模研究,以确定种群频率,并澄清每个贝尔现象等级对眼睛表面的保护性或有害影响.
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