在IRIS®注册表中,与眼前视术相关的因素
Daniel M Vu1, Joshua B Gilbert1, Eric A Goldberg1
1Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA.
Research square
|January 29, 2025
概括
对于玻璃眼外科手术而言,手术前的视镜的使用率低于推值. 微创性玻璃眼手术 (MIGS) 显示使用率下降,而亚洲人和黑人患者的使用率更高.
科学领域:
- 眼科医生 眼科 眼科
- 视光眼管理 视光眼管理
- 外科手术的结果
背景情况:
- 阴视镜对于诊断和治疗青光眼,指导手术决策至关重要.
- 目前的指导方针建议在各种青光眼手术中进行手术前的视镜检查.
- 了解利用模式是改善患者护理和遵守标准的关键.
研究的目的:
- 分析在全国范围内使用手术前视镜进行青光眼手术的情况.
- 通过IRIS注册表来检查随着时间的推移,视镜的使用趋势.
- 识别不同程序和患者人口统计学中与阴道镜利用相关的因素.
主要方法:
- 对接受眼手术或激光手术的成年患者进行了回顾性队列研究.
- 从IRIS注册表提取的数据 (2014年1月 - 2023年4月).
- 与指数手术事件相对而言,手术前阴影镜定时的分析以及相关因素的多变量逻辑回归.
主要成果:
- 包括110万名患者;64.7%的患者进行了手术前的视镜检查,85.0%的患者在1年前进行了视镜检查.
- 与白人患者相比,亚裔和黑人患者的阴茎镜检查几率更高.
- 微创性玻璃眼外科手术 (MIGS) 的利用率 (OR 0.69) 与传统手术相比较低;亚专家的表现更高 (OR 2.65).
结论:
- 在手术前使用视镜的使用率低于预期水平,特别是对于MIGS.
- 在种族/族群和程序类型之间存在使用差异.
- 需要进一步努力,以确保在绿眼的护理中始终遵守视镜指南.
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