慢性阻塞性肺病患者的光学连贯性断层扫描 fundus 的变化:系统性审查
A Kim1, C Erb2,3, G Kapanova1
1Al-Farabi Kazakh National University, Faculty of Medicine and Health Care, Almaty, Kazakhstan.
The Medical journal of Malaysia
|September 28, 2025
概括
慢性阻塞性肺病 (COPD) 导致慢性缺氧,影响视网膜和心肌. 光学连贯断层扫描 (OCT) 揭示了COPD患者的这些底部变化,突出了系统性影响.
科学领域:
- 眼科医生 眼科 眼科
- 肺部病理学 肺部病理学
- 医疗成像医学成像
背景情况:
- 慢性阻塞性肺病 (COPD) 导致全身慢性缺氧,影响各种器官.
- 视网膜和胸膜易受缺氧诱导的变化.
- 光学连贯断层扫描 (OCT) 是检测 fundus 变化的关键成像方式.
研究的目的:
- 系统地审查和讨论COPD患者在OCT检测到的 fundus 变化.
- 探索COPD相关的慢性缺氧对眼睛组织的影响.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 收录标准:英语,1993年以后发表的同行评审文章.
- 排除标准:元分析,评论,案例报告,试点研究,非人体研究.
主要成果:
- 10个案例控制研究符合最初识别的68篇文章的纳入标准.
- 研究了10例视网膜变化,发现了8例.
- 在9例病例中研究了胆道变化,在6例中发现了胆道变化.
结论:
- 与COPD相关的慢性缺氧和全身炎症显著影响视网膜和胸膜.
- 在COPD患者中,OCT成像证实了这些眼部变化.
相关概念视频
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
4.2K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
4.2K
01:29Chronic Obstructive Pulmonary Disease-V: Management
3.1K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.1K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
3.6K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
3.6K
01:22Chronic Obstructive Pulmonary Disease
2.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
2.3K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
3.5K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
3.5K