主要的视力威胁眼睛疾病和精神障碍
Xing-Xuan Dong1, Hui-Hui Hu1, Zhi-Qi Ying1
1School of Public Health; The Fourth Affiliated Hospital of Soochow University, Suzhou Medical College of Soochow University, Suzhou, China.
Acta ophthalmologica
|November 26, 2024
概括
严重的视力威胁眼睛疾病经常与精神健康状况如抑郁症和焦虑症一起发生. 收入差异可能会影响这些并发症的患病率,强调需要综合护理.
科学领域:
- 眼科医生 眼科 眼科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 大型危及视力的眼睛疾病和精神疾病对全球健康构成重大负担.
- 了解这些疾病之间的相互作用对于全面的患者护理和公共卫生战略至关重要.
研究的目的:
- 系统地审查和综合现有的关于主要视力威胁眼睛疾病和精神疾病之间的并发症的文献.
- 调查这些并发症的患病率,关联和潜在影响因素.
主要方法:
- 从主要数据库 (PubMed,Embase,Web of Science,Cochrane Library) 发表的研究的系统审查和元分析,截至2023年12月.
- 包括67项研究,不包括那些仅以实验室结果或非代表性采样进行的研究.
- 进行了元分析,使用随机效应模型.
主要成果:
- 糖尿病视网膜病变 (DR) 和抑郁症 (30%的患病率),以及DR和焦虑症 (29%的患病率) 是最常见的并发症.
- 在青光眼和抑郁症/焦虑症/精神分裂症,与年龄相关的黄斑变性 (AMD) 和抑郁症,以及DR和抑郁症之间发现了显著的关联.
- 较低的收入被确定为与玻璃眼和抑郁症之间的共患病率增加相关的因素.
结论:
- 大型危及视力的眼睛疾病与精神疾病,特别是抑郁症和焦虑症有着显著的联系.
- 这些并发症的负担很大,可能会被收入差异等社会经济因素加剧.
- 医疗保健提供者应主动查并管理并发病症,以改善患者的治疗结果.
相关概念视频
Photoreceptors and Visual Pathways
5.7K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
5.7K
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
Glaucoma: Overview
508
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...
508
Focusing of Light in the Eye
2.5K
Light rays enter the eye through the cornea, a transparent dome-shaped tissue that is the eye's outermost layer. The cornea bends or refracts, light rays traveling to the pupil. The shape of the cornea determines how much of the light is bent and whether the image will be focused correctly on the retina at the back of the eye. Once the light has passed through both refraction layers, it converges into a single focal point onto a small area. This is where photoreceptors start transforming...
2.5K
Angle Closure Glaucoma: Treatment
437
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...
437
Open Angle Glaucoma: Treatment
393
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...
393


