在小儿偏头痛患者的眼膜和眼睛表面的改变
Abdulvahit Asik1, Gözde Aksoy Aydemir2, Emre Aydemir2
1Department of Pediatrics, Adıyaman University Education and Research Hospital, Adıyaman, Turkey.
Indian journal of ophthalmology
|May 20, 2024
概括
儿科偏头痛患者的眼产量减少和眼睛表面疾病,特别是那些有光环的人. 客观测试证实了这些发现,强调了偏头痛对儿童眼睛健康的影响.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 儿科 儿科 儿科
背景情况:
- 偏头痛是儿童常见的一种神经疾病.
- 眼表面 (OS) 的健康对于视觉舒适性和功能至关重要.
- 儿科偏头痛患者 (PMP) 可能会遇到未经诊断的眼表面问题.
研究的目的:
- 评估和比较儿科偏头痛患者与健康儿童的眼睛表面参数.
- 调查带有光环和没有光环的PMP之间眼睛表面参数的潜在差异.
主要方法:
- 一项前性病例控制研究,涉及51名PMP和55名健康儿科患者 (HPP).
- 评估的眼皮表面参数包括眼皮表面疾病指数 (OSDI) 评分,希尔默眼测试 (STT),眼膜分解时间 (TBUT) 和结膜印象细胞学.
- PMP组根据光环的存在或不存在进一步划分.
主要成果:
- 与HPP相比,PMP的STT和TBUT值显著较低 (P=0.021,P=0.018).
- PMP报告的OSDI得分较高 (P=0.032) 并且表现出较低的杯状细胞密度 (P=0.01).
- 带有光环子组的偏头痛的杯状细胞数量 (P=0.01) 比没有光环子组的偏头痛要低,尽管STT和TBUT的差异并不显著.
结论:
- 儿科偏头痛与明显的眼睛表面异常有关,包括眼功能减弱和炎症.
- 像STT和TBUT这样的客观测试,以及结膜细胞学,证实了PMPs的这些OS变化.
- 眼睛表面变化和病理变化在患有光环的儿科偏头痛患者中显得更加明显.
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