眼内压力和镜发现在印度的初级角度关闭疾病-一个大数据研究研究
Srikantaiah Ramyashri1,2, Anthony Vipin Das3, Sirisha Senthil1
1VST Centre for Glaucoma Care, Kallam Anji Reddy Campus, L V Prasad Eye Institute, Hyderabad 500034, India.
International journal of ophthalmology
|August 19, 2024
概括
主要的闭角疾病,包括主要的闭角玻璃眼,在印度妇女中很常见. 周围虹膜切除术改善了角度开放,但由于潜在的眼内压力升高,需要小心翼翼地扩张,特别是高原虹膜综合征.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 公共卫生 公共卫生
背景情况:
- 主要视角闭合 (PAC) 疾病是全球视力损失的重要原因之一.
- 了解PAC疾病中的镜形状和眼内压 (IOP) 对于有效的管理至关重要.
- 第三级眼科护理网络提供了有关疾病患病率和特征的宝贵数据.
研究的目的:
- 在患有初级角关闭性疾病的患者中表征镜检测结果和IOP.
- 分析印度第三级眼科护理机构中PAC,PAC疑似 (PACS) 和PAC青光眼 (PACG) 的患病率和人口分布.
主要方法:
- 一项横截面研究分析了2011年至2021年期间出现的31,484名新患者的数据.
- 包括的患者有PAC,PACS或PACG的临床诊断.
- 数据是从电子医疗记录系统中提取的.
主要成果:
- 主要视角闭眼 (PACG) 是最常见的诊断 (47.55%),其次是PAC (39.49%) 和PACS (12.96%).
- 女性占病例的54.6%,男性更早出现.
- 周围虹膜切除术 (PI) 改善了视角开放的概率,但在显著的百分比的眼睛中观察到扩张后的IOP上升,特别是在PACG和高原虹膜综合征 (PIS) 中.
结论:
- 上方象限往往呈现出最窄的角度,为PI后的开放带来了挑战.
- 平原虹膜综合征与角度开放的概率降低和扩张后IOP升高的可能性更高有关.
- 建议对视角闭眼,特别是患有PIS的眼睛进行小心翼翼的眼球扩张,以防止IOP尖峰.
相关概念视频
Glaucoma: Overview
528
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...
528
Angle Closure Glaucoma: Treatment
454
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...
454
Open Angle Glaucoma: Treatment
413
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...
413


