在潜水和高压氧气治疗中近视的发展:一个案例报告和系统审查
Sofia A Sokolowski1,2, Anne K Räisänen-Sokolowski1,3, Richard V Lundell1,4,5
1Department of Pathology, Helsinki University, Helsinki, Finland.
Diving and hyperbaric medicine
|December 15, 2024
概括
使用富含空气氧的娱乐潜水可能会导致高氧近视,导致显著的视力变化. 需要更多的研究来确定潜水员在氧气暴露和折射移动方面的安全限值.
科学领域:
- 眼科医生 眼科 眼科
- 潜水医学是一门潜水医学.
- 高压医学高压医学
背景情况:
- 过氧近视是高压氧气治疗 (HBOT) 的已知并发症.
- 有限的文献存在于休潜水员暴露在高压条件下的折射变化.
- 一个使用缩空气氧的休潜水员显著近视转移的案例促使了这一审查.
研究的目的:
- 系统地审查高压氧气暴露对娱乐潜水员近视发展的影响.
- 探索氧气暴露与潜水群体的折射变化之间的关系.
- 确定娱乐潜水期间氧气暴露的潜在安全极限,以防止近视化.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 在Ovid MEDLINE,Scopus和Cochrane图书馆进行了搜索.
- 应用了偏差风险和GRADE评估;数据被合成以可视化氧气暴露和折射变化.
主要成果:
- 包括22篇文章,包括案例报告,队列研究和评论;四篇文章专注于多元化.
- 初步综合表明,与HBOT患者相比,潜水员可能会经历更大的近视转移,而氧气暴露较少.
- 数据异质性阻止了有意义的统计分析或安全界限的建立.
结论:
- 这篇综述强调了休潜水员中高氧近视的可能性,这种现象比HBOT患者研究得少.
- 目前的数据太多样化,无法确定潜水期间对氧气暴露的最终安全指南.
- 需要进一步的研究来了解和减轻与娱乐潜水相关的折射变化的风险.
相关概念视频
01:27Open Angle Glaucoma: Treatment
391
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...
391
01:16Focusing 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
01:28Angle Closure Glaucoma: Treatment
435
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...
435
01:25Glaucoma: Overview
505
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...
505
01:16Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
171
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
171