一项关于青光眼专家对眼表术前（小梁切除术）管理的全国性调查（.）

A National Survey of Glaucoma Specialists on the Preoperative (Trabeculectomy) Management of the Ocular Surface (.).

作者信息

Tailor Rajen, Batra Ruchika, Mohamed Shabbir

机构信息

a Department of Ophthalmology , University Hospitals , Birmingham , UK.

出版信息

Semin Ophthalmol. 2016;31(6):519-25. doi: 10.3109/08820538.2014.986585. Epub 2014 Dec 9.

DOI:10.3109/08820538.2014.986585

PMID:25489986

Abstract

BACKGROUND

Preserved anti-glaucoma drops cause ocular surface disease (OSD), which is increasingly being recognized as a likely cause of trabeculectomy failure.

AIM

To determine the routine pre-trabeculectomy management of the ocular surface by glaucoma specialists.

METHODS

A questionnaire consisting of 11 questions was posted to 146 UK glaucoma specialists.

RESULTS

The first-time response rate was 43.8%. Regarding routine pre-operative management, 40.6% of specialists use preservative-free drops, 29.7% commence a drop holiday, and 53% advise lid hygiene. 42.1% prescribe lubricants, 50% prescribe topical steroids, 7.8% topical NSAIDs, and 34.4% systemic tetracyclines. 84.4% of specialists change their routine management if OSD is present. Pre-operative optimization of the ocular surface is viewed "necessary" by 48.4% and "beneficial" by 85.9%.

CONCLUSION

A wide variation exists in the routine pre-operative management of the ocular surface. Research to determine the impact of different pre-operative interventions upon trabeculectomy outcomes is required.

摘要

背景

保存型抗青光眼滴眼液会导致眼表疾病（OSD），越来越多的人认为这可能是小梁切除术失败的原因。

目的

确定青光眼专科医生对小梁切除术术前眼表的常规管理方法。

方法

向146名英国青光眼专科医生发放了一份包含11个问题的问卷。

结果

首次回复率为43.8%。关于术前常规管理，40.6%的专科医生使用不含防腐剂的滴眼液，29.7%的医生开始停用滴眼液，53%的医生建议进行眼睑卫生护理。42.1%的医生开润滑剂，50%的医生开局部用类固醇，7.8%的医生开局部用非甾体抗炎药，34.4%的医生开全身性四环素。如果存在眼表疾病，84.4%的专科医生会改变他们的常规管理方法。48.4%的人认为术前优化眼表“必要”，85.9%的人认为“有益”。