在急性初级视角关闭后的长期结果:来自英国Moorfields眼科医院的病例系列,英国
Sana Hamid1, Francesco Matarazzo2,3, Zihan Sun4,5
1Glaucoma Department, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
The British journal of ophthalmology
|May 13, 2024
概括
在英国,急性初级角关闭 (APAC) 通常会导致良好的视力结果. 早期治疗法化手术可以改善视力,减少进一步眼内压力 (IOP) 降低治疗的需要.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 公共卫生 公共卫生
背景情况:
- 在英国,在急性初级角关闭 (APAC) 后,关于发病率和青光眼进展的数据有限.
- 评估APAC的结果和风险因素对于患者管理至关重要.
研究的目的:
- 在英国APAC发作后报告视力和眼内压力 (IOP) 结果.
- 为了确定预测亚太地区后更糟糕的结果的风险因素.
- 为了评估APAC治疗的有效性.
主要方法:
- 追溯观察案例系列.
- 包括117名连续患者 (121只眼睛) 与APAC.
- 数据收集自英国第三级推单位Moorfields眼科医院.
主要成果:
- 73%的患者在最终随访时达到符合英国驾驶标准的视力敏度 (≥6/12) .
- 15%的人患有严重的视力障碍 (世卫组织定义),其中6.6%是由于青光眼.
- 延迟呈现与增加医疗治疗需求相关 (OR=2.83).
- 化与较低的失明风险 (OR=0.18),较高的内血压 (OR=0.10) 和进一步的医疗治疗 (OR=0.34) 相关.
- 年龄较大预测视觉结果较差 (OR=1.26).
结论:
- 在这个英国队列中的APAC显示了低的长期视觉和治疗发病率.
- 发光乳化手术可以改善视觉结果,并降低对IOP降低治疗的需求.
- 年龄较大是亚太地区后视力表现较差的危险因素.
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