在COVID-19期间眼光眼镜中视野进展
Bhavini Johri1, Lingam Vijaya, Trupti Sudhir Patil
1Smt. Jadhavbai Nathmal Singhvee Glaucoma Services Medical Research Foundation, Sankara Nethralaya, Chennai.
Journal of glaucoma
|March 12, 2025
概括
玻璃眼患者在COVID-19大流行期间经历了加速视野进展. 这种恶化与降低药物坚持和可用性有关,突出显示需要持续监测.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的爆发,人们面临着前所未有的挑战,对医疗保健的准入和患者的坚持.
- 绿眼的管理需要持续的监测和治疗,以防止不可逆转的视力丧失.
研究的目的:
- 评估COVID-19大流行对绿眼病患者视野进展速度的影响.
- 在大流行期间识别影响视野进展的因素.
主要方法:
- 一项基于医院的前性队列研究包括234只眼睛,这些眼睛是患有青光眼或眼睛高血压的患者.
- 患者在2020年3月前至少有五个和流行后两个汉弗雷视觉场 (24-2 SITA标准).
- 用于基于趋势和事件的分析,使用了光眼进展分析软件;物流回归确定了进展因素.
主要成果:
- 视野进展率在流行后显著增加,平均偏差 (MD) 和视野指数 (VFI) 恶化.
- 45.3%的眼睛通过流行病后的趋势或事件分析显示出进展.
- 流行病前的MD是流行病后进展的重要预测因素.
结论:
- 与之前相比,在COVID-19大流行后,绿眼病患者表现出更高的视野进展率和比例.
- 降低药物服药量和可用性可能是导致这种加速进展的因素.
- 这些发现强调了连在公共卫生危机期间,持续治疗和监测眼的关键重要性.
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