结核病对潜在的角膜折射手术患者的影响:叙述性综述
Majid Moshirfar1,2,3, David G Melanson4, Shreya Pandya5
1Ophthalmology, Hoopes Vision Research Center, Draper, USA.
Cureus
|August 30, 2024
概括
病 (CeD) 可以导致各种眼睛问题,影响视力,并可能影响角膜折射手术 (CRS) 的结果. 本综述概述了考虑CRS的CeD患者的关键眼科考虑因素.
科学领域:
- 眼科医生 眼科 眼科
- 胃肠病学 胃肠病学
- 自体免疫学 自体免疫学
背景情况:
- 乳病 (CeD) 是一种由质引发的自身免疫性疾病,在全球范围内,约有1/133人患上该疾病.
- CeD经常表现出各种胃肠道和肠外症状,导致诊断延迟.
- CeD经常与其他自身免疫性疾病同时发生,可能会加剧系统性和眼部的表现.
研究的目的:
- 审查与腹腔疾病相关的眼科表现的文献.
- 确定接受选择性角膜折射手术 (CRS) 的乳病患者的初步考虑.
- 为医疗保健团队提供管理策略,为CeD患者在CRS之前和之后提供管理策略.
主要方法:
- 进行了全面的文献综述,截至2024年7月.
- 相关的搜索术语被用来确定关于乳病和眼部发现的研究.
- 分析了包括的研究,以综合有关眼科表现和手术考虑的信息.
主要成果:
- 结核病与独特的眼部表现有关,包括内皮细胞密度下降,维生素A缺乏,角膜神经密度变化,白内障,脑膜炎和胸膜厚度变化.
- 神经系统问题,如阴囊和 papilledema 也可能发生在 CeD 患者.
- 同时发生的自身免疫性疾病,如1型糖尿病和甲状腺眼病,可以协同影响CeD患者的眼睛健康.
结论:
- 病患者可能表现出超出典型的胃肠道症状之外的广泛的眼部表现.
- 进行彻底的手术前评估,包括主观问卷和客观评估 (裂纹灯,OCT等). ),对于考虑CRS的CeD患者来说至关重要.
- 个性化评估和管理对于优化CRSCED患者的手术候选和结果至关重要,尽管需要进一步的研究.
关键词:
眼睛干燥是指眼睛干燥.这些指导方针是指导方针.拉西克拉西克拉西克拉西克眼科表现的表现.这里是prk prk.视网膜病变是一种视网膜病变.微笑 微笑 微笑 微笑第1类糖尿病 糖类糖尿病紫外线炎 (uvéitis) 是一种维生素A缺乏症是一个缺陷.更多相关视频
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