在高风险少数群体中对玻璃眼的查
Nariman Nassiri1, M Roy Wilson2
1Department of Ophthalmology, David Geffen School of Medicine, Doheny Eye Institute and Stein Eye Institute, UCLA, Los Angeles, CA.
Journal of glaucoma
|June 26, 2025
概括
眼查不建议一般人群,但对高风险群体,包括黑人和西班牙裔人群,显示出有前途. 新兴技术可以改善这些人群的访问和案例寻找.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗技术 医疗技术 医学技术
背景情况:
- 开放角格劳科马不成比例地影响黑人和西班牙裔人口,随着人口结构的变化增加了社会负担.
- 目前的指导方针表明,对于在成年人中进行广泛的青光眼查的证据不足.
- 一般人群对玻璃眼查被认为不具有成本效益,尽管有针对性的查更有利.
研究的目的:
- 审查目前对高风险少数群体中初级开角玻璃眼查的建议.
- 在这些群体中探索提高青光眼查效率的策略.
- 讨论不断发展的技术在改善案件调查和降低成本方面的作用.
主要方法:
- 使用PubMed,EMBASE和谷歌学者进行了全面的文献审查.
- 分析了1980年1月至2023年10月的英语出版物.
- 审查的重点是高风险人群中初级开角玻璃眼查.
主要成果:
- 在黑人和西班牙裔人群中,青光瘤的患病率更高.
- 远程医疗和人工智能等新的查技术正在扩大服务不足的人口的访问.
- 提高查效率的战略必须侧重于增加病例检测和降低成本.
结论:
- 对于一般人群对青光眼查的有效性没有共识.
- 针对高风险人群的眼查,特别是使用新兴技术,可以有用且具有成本效益.
- 新兴技术有助于在风险群体中改善对眼查的准入和病例发现.
相关概念视频
Glaucoma: Overview
782
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
782
Open Angle Glaucoma: Treatment
586
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
586
Angle Closure Glaucoma: Treatment
705
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
705


