医疗保健 用于眼睛疼痛的使用
Jeremy N Shapiro1, Rebhi O Abuzaitoun1, Yue Pan1
1Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor.
JAMA ophthalmology
|June 6, 2024
概括
在美国,每年有超过500万次眼睛疼痛访问,主要是在眼科医生的门诊机构进行的. 大多数病例并不危及视力,但仍需要随访护理,这表明需要改进治疗方法.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 眼睛疼痛是医疗访问的常见原因,但缺乏关于其频率和护理模式的全国数据.
- 了解这些模式对于指导研究和临床实践以改善患者结果至关重要.
研究的目的:
- 为了估计美国眼睛疼痛门诊和急诊部 (ED) 访问的数量.
- 分析患者的人口统计,诊断和与眼睛疼痛访问相关的护理模式.
主要方法:
- 一项回顾性横截面研究,使用国家门诊医疗调查和国家医院门诊医疗调查数据从2008-2019年.
- 基于人群的眼睛疼痛访问样本的分析,包括患者和临床医生的特征,诊断 (ICD-10) 和处置.
主要成果:
- 据估计,每年有460万例门诊和110万例ED眼部疼痛诊疗记录.
- 门诊访问主要涉及60岁以上的女性,而ED访问更常见于年轻的男性. 大多数诊断都是非视力威胁的.
- 眼科医生管理了大多数门诊眼部疼痛访问,大多数患者接受了随访护理.
结论:
- 每年有超过500万次眼睛疼痛访问,其中很大一部分由眼科医生在门诊诊所进行管理.
- 虽然大多数眼睛疼痛诊断并不危及视力,但大量的访问和随后的护理强调了医疗保健系统的重大负担.
- 开发针对眼痛的增强治疗策略可能会减少医疗保健系统的压力,并优化患者的治疗结果.
相关概念视频
Accessory Structures of the Eye
1.5K
Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
1.5K
Open Angle Glaucoma: Treatment
427
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
427
Angle Closure Glaucoma: Treatment
473
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
473
Glaucoma: Overview
541
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
541
Direct-Acting Cholinergic Agonists: Therapeutic Uses
726
Direct-acting cholinergic agonists have many therapeutic uses in various medical fields. Choline esters, including acetylcholine, have limited clinical utility due to their non-selectivity and short duration of action. Still, acetylcholine and carbachol are applied topically during ophthalmologic surgery to induce miosis. Pilocarpine, a muscarinic and ganglionic stimulator, effectively treats open-angle glaucoma and alleviates xerostomia and dry mouth caused by radiotherapy or Sjögren...
726
Local Anesthetics: Common Agents and Their Applications
434
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
434


