在患有神经性厌食症的患者中考虑角膜折射手术
Majid Moshirfar1,2,3, Victoria M Wang4, Kayvon A Moin1
1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USA.
Clinical ophthalmology (Auckland, N.Z.)
|December 31, 2024
概括
神经性厌食症 (AN) 患者可能有眼睛问题,增加了折射手术的风险. 本综述为接受角膜折射手术的这些患者提供了管理指南.
科学领域:
- 眼科医生 眼科 眼科
- 精神病学是一个精神病学.
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 神经性厌食症 (AN) 是一种饮食障碍,具有潜在的眼科表现.
- 近视率的增加意味着AN患者可能会寻求角膜折射手术.
- 在AN的眼部并发症可能会影响手术结果.
研究的目的:
- 审查AN的眼科表现.
- 为接受角膜折射手术的AN患者提供初步指导方针.
主要方法:
- 在PubMed,Scopus和Ovid数据库中进行文献搜索,截至2024年6月2日.
- 对AN患者眼部发现的分析.
- 为角膜折射手术制定手术前指南.
主要成果:
- 十二篇文章审查了114名AN患者 (227只眼睛).
- 眼科发现包括眼表面 (14%),白内障/视力障碍 (5%),后部 (64%) 和轨道/神经 (20%) 异常.
- 与AN相关的眼科问题可能会增加延迟愈合,干燥,出血,片并发症和手术后视力差的风险.
结论:
- 在AN患者的眼科发现对角膜折射手术构成风险.
- 评估BMI和AN查是至关重要的.
- 轻度至中度体重不足的AN患者正常工作可能会谨慎地进行.
- 外科医生必须仔细考虑对AN患者的折射手术建议.
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