移植后长期的眼部并发症 移植后的眼部并发症
Aslı Çetinkaya Yaprak1, Ali Avanaz2, Çisil Erkan Pota1
1Department of Ophthalmology, Akdeniz University Hospital, Antalya, Turkey.
Scientific reports
|April 30, 2025
概括
在移植前接受透析的患者在移植后患干眼和糖尿病视网膜病变的风险更高. 移植前的因素显著影响长期的眼部并发症,独立于移植后的护理.
科学领域:
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植医学 移植医学
背景情况:
- 移植是救命的手术,但长期的眼部并发症会影响患者的生活质量.
- 预防性移植与移植前透析可能会影响移植后的结果,包括眼睛健康.
研究的目的:
- 评估移植患者的长期眼部并发症.
- 确定与这些并发症相关的因素,特别是移植前透析状态.
主要方法:
- 一组548名脏移植接受者接受了全面的眼科检查.
- 患者被分为两组:预防性移植 (组2) 和移植前透析 (组1).
- 记录了眼睛的参数,包括视敏度,折射误差,眼内压力和前后段的发现.
主要成果:
- 在透析前组中,眼睛干燥的发生率明显高于透析前组 (21.8%对12%,p=0.003).
- 在透析前组,糖尿病视网膜病变的发病率明显高于透析前组 (25.3%与16.2%,p=0.011).
- 折射误差,白内障和其他后部段状况在组之间没有显著差异.
结论:
- 干眼和糖尿病视网膜病变是移植后常见的眼部并发症.
- 在移植之前接受透析的患者面临更高的干眼和糖尿病视网膜病变的风险.
- 移植前的因素,如透析状态,在移植后的眼部并发症的发展中起着至关重要的作用.
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