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微笑后COVID-19对视觉结果和干眼的影响

Zhi Fang¹, Yan Li¹, Dejuan Song¹

¹Eye Center, The Second Affiliated Hospital of Zhejiang University School of Medicine; Zhejiang Provincial Key Laboratory of Ophthalmology; Zhejiang Provincial Clinical Research Center for Eye Diseases; Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.

Advances in ophthalmology practice and research

|April 29, 2025

概括

新冠状病毒病2019 (COVID-19) 对接受小切割镜片提取 (SMILE) 患者的视力敏度产生了负面影响,并恶化了干眼症状. 这些发现凸显了与COVID-19折射术后手术相关的眼部并发症.

科学领域:

眼科医生眼科眼科
传染性疾病传染性疾病
折射手术是一种折射手术.

背景情况:

小切口镜片提取 (SMILE) 是一种流行的折射手术程序.
由于COVID-19的流行,人们对其对各种医疗程序和患者结果的潜在影响感到担忧.
了解COVID-19在折射后手术患者的眼睛影响对于患者的护理和管理至关重要.

研究的目的:

评估COVID-19在SMILE手术后对视力敏度的影响.
评估COVID-19对SMILE后眼睛光学质量的影响.
确定COVID-19对SMILE患者干眼疾病严重程度的影响.

主要方法:

追溯性比较研究,包括接受SMILE的患者.
患者被分为两组:大流行前 (第一组) 和大流行期间的COVID-19感染 (第二组).
评估视力敏度,干眼严重程度 (OSDI),眼表面疾病指数,角膜学和泽尼克系数.

主要成果:

2组 (COVID-19感染者) 与1组相比,显示出明显更高的OSDI得分和增加的腹筋/四肢发红.
3个月后的纠正距离视敏度 (CDVA) 在第一组明显好于第二组.
在手术后1个月和3个月的第二组中观察到更高的球形偏差 (SA).

结论:

在SMILE手术后的患者中,COVID-19感染对视觉结果产生不利影响.
在SMILE患者中,COVID-19显著加剧了干眼严重程度和眼睛表面炎症.
这项研究强调了COVID-19对折射手术结果和眼睛健康的有害影响.

关键词:

在 COVID-19 疫情中,眼睛干燥眼睛干燥高级偏差的偏差是一种偏差.微笑微笑微笑球形偏差是指球形偏差.

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