血液透析对眼睛的影响
Olena Protsyk1,2, Javier Lacorzana3,4
1Department of Ophthalmology, Jaen University Hospital, Jaen, Spain.
Indian journal of ophthalmology
|April 24, 2025
概括
血液透析可能会影响眼睛的健康,影响视野和眼睛的参数. 在治疗后安排眼科检查,以准确评估,并在透析期间控制眼睛干燥.
科学领域:
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學.
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 血液透析 (HD) 对于血液净化和电解质平衡至关重要.
- 眼睛的液体组成表明潜在的易感性HD诱导的变化.
- 了解这些眼部影响对于患者管理至关重要.
研究的目的:
- 研究血液透析对眼睛结构和功能的影响.
- 为了确定血液透析对眼睛健康的长期影响.
- 确定透析患者眼科检查的最佳时间.
主要方法:
- 进行了全面的文献审查.
- 在PubMed搜索了2000年至2023年间发表的研究.
- 专注于解剖学,功能和血液透析后的眼睛变化.
主要成果:
- 视觉敏度,折射和视网膜神经纤维层没有显著的时间相关影响或相互矛盾的结果.
- 血液透析疗程与视野变化,视觉唤起潜力和青光眼患者的眼内压力相关.
- 眼睛的参数,如撕裂时间,希尔默测试,胸膜厚度和眼睛 perfusion 压力受到透析的影响.
结论:
- 血液透析会引起波动,使眼睛健康评估复杂化.
- 建议在血液透析后几个小时进行眼科检查,以准确评估基线.
- 在透析期间,干眼和眼高血压的管理是必不可少的;协调护理与脏替代疗法.
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