自发的上出血:临床特征,视觉结果和预后因素
Rodrigo Anguita1,2, Janice Roth3,4, Lorenzo Ferro Desideri4
1Moorfields Eye Hospital NHS Foundation Trust, London, UK. rodrigoanguita@gmail.com.
Eye (London, England)
|July 28, 2024
概括
自发性冠状腺上出血 (SSCH) 是罕见的,通常影响高血压和高近视的老年人. 视觉结果通常很差,手术的益处有限.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 血管眼部疾病 血管眼部疾病
背景情况:
- 自发性冠状腺上出血 (SSCH) 是一种罕见但严重的眼部事件.
- 了解其临床特征,风险因素和结果对于患者管理至关重要.
研究的目的:
- 描述诊断为罕见自发性上出血 (SSCH) 的患者的临床特征,危险因素和结果.
- 在20年的时间内分析影响SSCH患者视力敏度的预后因素.
主要方法:
- 回溯式,观察性的案例系列设计.
- 对患者人口统计,并发症 (全身和眼部),药物和视力敏度 (BCVA) 的分析.
- 对SSCH患者的临床特征,管理策略和随访数据的评估.
主要成果:
- 确定了11名SSCH患者;中位数年龄70岁,主要是女性 (82%) 和白人英国人.
- 高血压 (45%) 和抗凝血剂/抗血小板药物治疗 (36%) 是常见的;高近视存在于36%.
- 呈现良好的BCVA预测了更好的最终BCVA;与观察相比,手术没有显著的视觉改善.
结论:
- 高龄患者 (>60岁) 患有高血压,使用抗凝剂,高近视和伪眼是SSCH常见的人口统计数据.
- 视觉结果通常很差,手术干预的影响有限.
- 最初的BCVA和SSCH的程度是视觉结果的关键预后因素.
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