由于在COVID-19的流行病中不参加检查而导致的玻璃眼病进展
Kenji Inoue1, Minako Shiokawa2, Shiho Kunimatsu-Sanuki3
1Inouye Eye Hospital, 4-3 Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-0062, Japan. 2inoue-k@inouye-eye.or.jp.
International ophthalmology
|April 25, 2024
概括
在COVID-19期间跳过眼科检查的玻璃眼病患者面临着更严重的视野缺陷. 较长的访问间隔和高眼压增加了视力损失的风险,需要密切监测.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,人们普遍感到焦虑,医疗保健也受到干扰.
- 一些青光眼患者由于与大流行有关的恐惧,避免了眼科的诊所.
研究的目的:
- 调查延迟眼科检查对绿眼病患者的影响.
- 评估在疫情期间错过预约的绿眼病患者视野缺陷的进展情况.
主要方法:
- 来自伊诺耶眼科医院的886名青光眼患者数据的回顾性分析.
- 审查了2020年1月至2022年5月期间取消的访问.
- 通过逻辑回归评估汉弗里视野 (HFA) 平均偏差 (MD) 值中断后,并通过逻辑回归分析影响因素.
主要成果:
- 16.5%的患者经历了访问中断.
- 在那些定期接受测试的人中,55.6%的MD值比预期更差,13.3%的MD值恶化≥2dB.
- 更长的中断持续时间和中断前的高眼内压与显著的MD恶化有关.
结论:
- 由于大流行病而经历访问中断的玻璃眼患者有加速视野损伤的风险.
- 密切监测视野进展对于这些患者至关重要.
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