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临床实践中晶状体混浊的评估:一项全国性调查的结果

The assessment of lens opacities in clinical practice: results of a national survey.

作者信息

Frost N A, Sparrow J M

机构信息

Department of Ophthalmology, University of Bristol, UK.

出版信息

Br J Ophthalmol. 2001 Mar;85(3):319-21. doi: 10.1136/bjo.85.3.319.

Abstract

AIM

To investigate the examination of lens opacities in routine ophthalmic clinical practice.

METHOD

A questionnaire survey was mailed to 703 consultant ophthalmologists in the UK. The surgeons were asked which lens feature(s) they assessed in their clinics when deciding whether to offer cataract surgery.

RESULTS

489 replies were received. A broad range of lens opacities was assessed, with differences between surgeons for some opacities with high prevalences in the population, particularly cortical opacities. Many (74% of 467) surgeons assessed one or more lens opacities (anterior subcapsular cataract, vacuoles, water clefts, coronary flakes, focal dots, retrodots, fibre folds) which may be visually important but which have received relatively little attention by researchers.

CONCLUSIONS

Some classes of lens opacity which are traditionally measured by researchers may be ignored in clinical practice and opacities which are traditionally ignored by some researchers are regarded as clinically important by a substantial number of surgeons.

摘要

目的

研究常规眼科临床实践中晶状体混浊的检查情况。

方法

向英国703位眼科顾问医师邮寄了问卷调查。询问这些外科医生在其诊所决定是否进行白内障手术时评估哪些晶状体特征。

结果

收到489份回复。评估了广泛的晶状体混浊情况,对于人群中某些高患病率的混浊,不同外科医生之间存在差异,尤其是皮质混浊。许多(467位中的74%)外科医生评估了一种或多种晶状体混浊(前囊下白内障、空泡、水裂、冠状片、焦点、后点、纤维皱褶),这些混浊在视觉上可能很重要,但研究人员对其关注相对较少。

结论

研究人员传统上测量的某些类型的晶状体混浊在临床实践中可能被忽视,而一些研究人员传统上忽略的混浊被大量外科医生视为具有临床重要性。

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