在高近视的后部段的临床概况
Raju Kaiti1, Birkha Bogati2, Ranjila Shyangbo3
1Department of Optometry, Nepal Eye Hospital, Tripureswor, Kathmandu, Nepal.
Journal of Nepal Health Research Council
|November 22, 2024
概括
高近视,在尼泊尔很常见,显示频繁的 fundus 变化,如 tessellated fundus 和 peripapillary 缩. 轴长度增加和球形误差是这些近视变化的关键风险因素.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医学研究 医学研究
背景情况:
- 近视是一种日益严重的全球健康问题,预计到2050年近视的患病率将达到47亿.
- 高近视 (<5.00 D) 增加了不可逆转的失明和诸如近视性黄斑症等并发症的风险.
- 尼泊尔近视率很高 (47.16%),需要对其影响进行研究.
研究的目的:
- 评估尼泊尔人中高近视的眼底和视神经变化.
- 检查这些变化与年龄,性别,轴长度和平均球形误差的关联.
主要方法:
- 一项前性,横截面研究,涉及98个高近视眼 (<5.0 D或轴长≥26.00 mm).
- 彩色基底摄影被用来评估后部段和光盘变化.
- 多项逻辑回归分析了轴长和平均球形误差作为风险因素.
主要成果:
- 状底部 (57.1%) 和周囊缩 (40.8%) 是最常见的后部细分变化.
- 在45.9%的研究眼睛中观察到高近视特征.
- 增加的轴长和平均球形误差被确定为高近视变化的显著风险因素.
结论:
- 近视变化,包括形底部和周周缩,在尼泊尔高近视人口中很常见.
- 轴长和平均球形误差与这些底部变化的发展有显著的关联.
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