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在接受外部升降器推进手术的患者中,恶化干眼症状的危险因素

Christine J Zemsky^1,2, Larissa K Ghadiali^3,4, Noam Rudnick⁵

¹Johns Hopkins, Bloomberg School of Public Health, Baltimore, Maryland, U.S.A.

Ophthalmic plastic and reconstructive surgery

|May 6, 2025

概括

外部升降器推进手术可能会恶化干眼综合征 (DES). 术后MRD1和MRD2测量量较大,以及MRD1的变化,与此手术后干眼症状的增加相关.

科学领域:

眼科医生眼科眼科
眼镜塑料是一种眼镜塑料.
干眼疾病干眼疾病

背景情况:

干眼综合征 (DES) 是一种常见的疾病.
外部升降器推进手术是一种纠正ptosis的手术.
外部升降机推进和DES之间的关系尚未得到充分研究.

研究的目的:

调查外部升降器进步后干眼症状和症状的危险因素.
为了提高外置升降器推进手术的术前规划.

主要方法:

对接受外部升降器推进的患者的回顾性图表分析.
在手术前和手术后测量边缘反射距离-1 (MRD1) 和边缘反射距离-2 (MRD2).
在多个术后时间点评估干眼症状 (DSXs).
对患有先前存在的DES和接受同时手术的患者进行子组分析.

主要成果:

术后的MRD1,MRD2和MRD1的变化在患有恶化或不恶化的DSX的患者之间是显著的.
在患有DES的患者中,在早期的术后访问时,DSX的差异是显著的,但在3个月后却没有.
在DES患者中,DSX的恶化与MRD1的更大变化有关,但不是最终的MRD1.

结论:

术后MRD1,MRD2和MRD1变化的增加与外部升降器推进后干眼症状的恶化有关.
在DES患者中,较大的MRD1变化与症状恶化相关.
考虑同时进行下眼手术以减少MRD2可能会减轻术后干眼.

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