在单方面头中风后,与视力相关的生活质量
Neil Dogra1, Bryan V Redmond1, Selena Lilley1
1Department of Ophthalmology, Flaum Eye Institute and Center for Visual Science, University of Rochester, Rochester, New York, USA.
Brain and behavior
|July 3, 2024
概括
视力相关的生活质量随着时间的推移而改善,无论视力缺陷的严重程度或患者的年龄. 这表明自然适应和补偿发生,影响日常生活评估.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 康复医学 康复医学 康复医学
背景情况:
- 影响主要视觉皮层的中风会导致显著的同名视野缺陷.
- 这些视力障碍严重影响患者的日常生活和生活质量.
研究的目的:
- 研究自中风以来时间对视觉相关生活质量 (VR-QoL) 的影响.
- 为了确定VR-QoL是否随着时间的推移而变化后椎中风,独立于视力缺陷严重程度或患者年龄.
主要方法:
- 对95名部中风患者的回顾性元分析.
- 使用国家眼科视觉功能问卷 (NEI-VFQ) 和Neuro10补充剂评估VR-QoL.
- 视力缺陷严重程度量化为周边平均偏差 (PMD);数据与对照组相比较. 多重线性回归用于分析VR-QoL和时间中风后关系.
主要成果:
- 与对照组相比,部中风患者报告NEI-VFQ和Neuro10得分明显较低.
- 大多数视觉功能子尺度受损,除了眼睛疼痛和一般健康状况.
- 视力缺陷严重程度 (PMD) 与VR-QoL复合分数没有相关性;然而,即使经过PMD和年龄的调整,随着中风后的时间,分数也得到了改善.
结论:
- 视觉相关的生活质量 (VR-QoL) 显示在部中风后随着时间的推移而有所改善.
- 这种改善发生不论视力缺陷的大小或患者在中风时的年龄.
- 未来的康复研究应该考虑到随着时间的推移,VR-QoL的潜在自然改善.
相关概念视频
Glaucoma: Overview
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...
Open Angle Glaucoma: Treatment
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...
Angle Closure Glaucoma: Treatment
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...
Accessory Structures of the Eye
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...
Focusing of Light in the Eye
Light rays enter the eye through the cornea, a transparent dome-shaped tissue that is the eye's outermost layer. The cornea bends or refracts, light rays traveling to the pupil. The shape of the cornea determines how much of the light is bent and whether the image will be focused correctly on the retina at the back of the eye. Once the light has passed through both refraction layers, it converges into a single focal point onto a small area. This is where photoreceptors start transforming...
Photoreceptors and Visual Pathways
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category, whereas...


