在过去的30年里,形的诊断和治疗趋势不断变化
Rashmi S Deshmukh1, Anthony Vipin Das2, Pravin Krishna Vaddavalli1,3
1Refractive Surgery & Cataract Service, L V Prasad Eye Institute, Hyderabad, India.
Cornea
|July 16, 2024
概括
由于诊断的进步, (KC) 越来越多地被早期诊断出来. 像原交叉连接 (CXL) 和隐形眼镜这样的现代治疗方法正在减少对角膜整形的需要,而深前层层层角膜整形 (DALK) 变得越来越常见.
科学领域:
- 眼科医生 眼科 眼科
- 角膜疾病 角膜疾病
- 视觉科学 视觉科学 视觉科学
背景情况:
- 角膜 (KC) 是角膜逐渐变薄的一种疾病.
- 早期诊断和管理对于保持视力至关重要.
- 近几十年来,KC呈现和治疗的趋势发生了重大变化.
研究的目的:
- 为了分析33年内角 (KC) 临床表现的趋势.
- 调查KC的诊断和管理方面的变化.
- 评估新疗法对KC外科手术的影响.
主要方法:
- 从1987年到2020年,对20576名被诊断为KC的患者进行了回顾性研究.
- 从电子医疗记录中收集的数据,包括人口统计,诊断,隐形眼镜使用和手术史.
- 描述性统计和千平方测试用于数据分析.
主要成果:
- 在KC诊断时的平均年龄从29.3岁降至22.2岁.
- 隐形眼镜的使用率从4.34%增加到11.23%.
- 原交叉连接 (CXL) 成为主要的手术干预,从22.28%上升到72.53%的手术. 深前层叶片角膜成形 (DALK) 也有所增加.
结论:
- 诊断方面的进步已经导致KC的早期检测.
- 隐形眼镜和CXL的使用增加,减少了对传统角膜整形的需求.
- 现在,DALK在KC管理中比穿透性角膜整形更频繁地进行.
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