眼科表现,视觉结果和电气和闪电创伤的治疗:系统性审查
María A Piedrahita1, Andrés Felipe Pineda-Vanegas1, Felipe Moreno-Mendoza1
1Department of Ophthalmology, Faculty of Medicine, Simón Bolívar Hospital, Universidad El Bosque, Bogotá, Colombia.
概括
电气和闪电损伤会导致严重的眼睛问题,高压暴露会导致白内障和黄斑囊的频率增加. 许多患者经历这些创伤后的视力障碍或法律失明.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 电气伤害医学 电气伤害医学
背景情况:
- 电击和闪电伤害虽然很少见,但对眼部并发症有很大的风险.
- 了解这些风险对于及时诊断和管理至关重要.
研究的目的:
- 系统地审查眼部表现,视觉结果,以及对电气和闪电伤害的治疗方法.
- 根据电压暴露 (高与低) 来比较并发症.
主要方法:
- 在PubMed,Embase和Web of Science数据库中进行了全面的文献搜索.
- 包括在内的是对受电/闪电伤害的患者的观察性研究 (病例报告,系列,横截面).
- 关于眼部发现,视觉结果 (BCVA) 和治疗的数据被提取和分析.
主要成果:
- 审查了71项涉及183名患者的研究;白内障 (30.05%) 和黄斑囊 (10.38%) 是最常见的.
- 51.35%的患者有一些视力障碍,33.92%的患者在法律上是盲人.
- 高压暴露与白内障和黄斑囊的更高率相关,特别是在法律盲人患者中.
结论:
- 电力和闪电伤害经常导致眼睛的严重并发症.
- 并发症频率和视觉结果与暴露电压有关,高电压损伤带来更大的风险.
- 早期识别和管理对于改善视觉预后至关重要.
更多相关视频
相关概念视频
Photoreceptors and Visual Pathways
6.5K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.5K
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
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


