在IRISR注册表中,与眼镜在视眼眼手术前编码相关的因素
Daniel M Vu1, Joshua B Gilbert1, Eric A Goldberg1
1From the Department of Ophthalmology (D.M.V., J.B.G., E.A.G., M.M.L., N.A.P., N.Z., C.J.R., T.E., A.C.L., J.W.M.), Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
American journal of ophthalmology
|August 9, 2025
概括
在绿眼镜手术前使用手术前的视镜比推的要低. 微创性玻璃眼外科手术 (MIGS) 显示利用率下降,而亚洲人和黑人患者的使用率更高.
科学领域:
- 眼科医生 眼科 眼科
- 视光眼管理 视光眼管理
- 外科手术的结果
背景情况:
- 阴视镜对于诊断和治疗青光病至关重要.
- 了解镜利用模式对于优化患者护理至关重要.
- IRISR注册表提供了一个大型数据集,用于分析全国性的外科手术趋势.
研究的目的:
- 分析全国范围内的眼镜和激光手术的术前阴影镜的使用情况.
- 为了检查十年来视镜使用的时间趋势.
- 用IRISR注册表来识别与视镜利用相关的因素.
主要方法:
- 在2014-2023年期间,对110万成年青光眼/激光手术进行了回顾性队列研究.
- 在指数玻璃眼手术后5年内进行的手术前视镜分析.
- 多变量后勤回归用于识别与视镜使用相关的因素.
主要成果:
- 在63.2%的患者中使用了手术前的视镜,其中87%是在1年内使用的.
- 与白人患者相比,亚裔和黑人患者的阴茎镜检查几率更高.
- 微侵袭性玻璃眼手术 (MIGS) 的利用率 (OR 0.67) 与传统手术相比较低;玻璃眼子专家增加了几率 (OR 2.65).
结论:
- 在手术前使用镜和/或编码低于基于指导方针的预期.
- 腹腔内科MIGS手术与手术前阴道镜利用率的减少有关.
- 进一步调查视镜的坚持是有必要的,以改善绿眼的护理标准.
相关概念视频
Glaucoma: Overview
755
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...
755
Open Angle Glaucoma: Treatment
568
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...
568
Angle Closure Glaucoma: Treatment
681
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...
681


