填补盲点:将查尔斯·波内特综合征查整合到眼科中
Philip John Borsellino1, Savannah Schauer1, Axel Rivas1
1Department of Medical Education, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA.
Clinical ophthalmology (Auckland, N.Z.)
|October 9, 2025
概括
查尔斯·波内特综合征 (CBS) 经常错过在患有视力损失的患者. 本综述综合了CBS的患病率和风险因素,为眼科医生提出了查工作流程,以改善诊断.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 查尔斯·邦内综合征 (CBS) 影响有明显视力丧失的个体,导致复杂的视觉幻觉.
- 尽管患病率很高,但CBS经常被诊断不足,影响患者的生活质量.
- 认知洞察力在CBS患者中保持不变,使其与其他疾病区别开来.
研究的目的:
- 为了对查尔斯·邦内综合征的现有文献进行范围审查.
- 综合有关CBS流行,相关风险因素和当前查实践的数据.
- 为眼科医生提出标准化,临床适用的查工作流程,以改善CBS检测.
主要方法:
- 在PubMed,Embase,Web of Science和Scopus中进行了结构化的文献搜索.
- 纳入标准侧重于同行评审的研究报告查工具,诊断标准,或临床评估CBS的患者视力损失.
- 从最初的1582篇文章中,包括了89篇研究.
主要成果:
- 哥伦比亚结核病的患病率从2%到30%不等,与年龄相关的黄斑变性是一种常见的相关疾病.
- 验证的查工具,如QR-SCB和NEVHI显示临床实用性,但它们的使用是有限的.
- 诊断的关键障碍包括患者不愿报告症状以及临床医生对CBS缺乏熟悉.
结论:
- 查尔斯·邦内综合征的诊断严重不足,导致了相当大的心理社会负担.
- 在眼科诊所实施结构化查方法可以提高诊断准确性.
- 拟议的临床模型为将CBS评估纳入常规眼科护理提供了实际框架.
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