在白内障手术后干眼的医疗保健利用,患病率和危险因素
Saffire H Krance1, Amin Hatamnejad2, Rutmila Uddin3
1Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|September 8, 2024
概括
在白内障手术后,近五分之一的患者经历了干眼症状 (DES),十二分之一的患者需要额外的预约. 手术前干眼治疗可能无法预防这些问题.
科学领域:
- 眼科医生 眼科 眼科
- 临床研究 临床研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 干眼症状 (DES) 是白内障手术后的一个常见并发症.
- 量化医疗负担和确定术后DES的风险因素对于患者管理至关重要.
研究的目的:
- 为了确定白内障手术后DES导致的医疗保健利用率.
- 确定与手术后发展DES相关的手术前风险因素和调解者.
主要方法:
- 在门诊外科手术中心进行了一项回顾性队列研究,其中包括1074名接受白内障手术的患者.
- 收集和分析了手术前干眼严重程度 (使用DEQ5),风险因素和术后结果的数据.
- 统计分析包括千二测试,赔率比率和二项逻辑回归来确定显著的风险因素.
主要成果:
- 18.1%的患者至少有一次非例行性术后访问DES.
- 患有中度/严重手术前干眼评分的患者显著更有可能患上术后的DES.
- 较高的DEQ5分数,女性性别,双边连续手术和女性秒激光辅助手术与术后DES风险增加有关.
结论:
- 显著比例的患者在白内障后手术后发展DES,导致大量的医疗保健利用.
- 目前的标准手术前的DES预防可能无法有效降低术后的DES发病率.
- 需要进一步的研究来了解潜在的机制,并制定有效的预防策略.
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
Accessory Structures of the Eye
1.5K
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...
1.5K
Open Angle Glaucoma: Treatment
407
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...
407
Angle Closure Glaucoma: Treatment
453
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...
453


