患有眼膜炎的患者眼内瘤/ 眼内压升高的发生率和预后
Mine Esen Barış1, Halil Ateş1, Suzan Güven Yılmaz1
1Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Türkiye.
Turkish journal of ophthalmology
|August 21, 2025
概括
眼内压力升高 (EIP) 和绿眼病影响超过20%的眼膜炎患者. 在前面的脑膜炎中最常见,而EIP在中间的脑膜炎中最常见.
科学领域:
- 眼科 眼科
- 临床研究
- 卵巢炎的治疗方法
背景情况:
- 膜炎是可预防失明的主要原因,
- 眼内压力升高 (EIP) 和青光眼是脑膜炎患者的重大问题,影响视觉预后.
- 了解不同类型的脑膜炎的发病率和模式对于有效的患者治疗至关重要.
研究的目的:
- 在患有各种形式的眼膜炎的患者中确定眼内压升高 (EIP) 和青光眼的患病率和临床过程.
- 分析特定类型的脑膜炎与EIP和青光眼的发生之间的关联.
- 评估EIP和青光眼治疗的结果.
主要方法:
- 在2003年至2023年期间治疗的2176名脑膜炎患者的回顾性病理表.
- 在随访期间,纳入标准集中在过渡性/ 持续性眼内压升高 (IOP) 或被诊断为青光眼的患者上.
- 收集的数据包括人口特征,脑膜炎类型,诊断时间表以及脑膜炎和眼膜炎的治疗方法.
主要成果:
- 在440名患者中 (594个眼睛),包括20. 2%的患者. 在37. 0%的眼睛中观察到青光眼,在63. 0%的眼睛中观察到EIP.
- 在前性脑膜炎 (41.1%) 中,青光眼的患病率最高,而在中间性脑膜炎 (71.2%) 中,EIP最常见.
- 在77. 1%的眼睛中,医疗控制了内血压;19%的眼睛需要进行绿眼镜手术或激光治疗.
结论:
- 在研究的脑膜炎队列中,眼和EIP的总体患病率为20. 3%.
- 前膜炎的发生率最高,而中间膜炎最常与EIP相关.
- 这些发现突显了针对特定类型的脑膜炎患者进行高血压和眼的警监测的重要性.
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