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加纳眼科从业者对干眼诊断测试和治疗方式的偏好调查。

Survey of eye practitioners' preference of diagnostic tests and treatment modalities for dry eye in Ghana.

作者信息

Asiedu Kofi, Kyei Samuel, Ayobi Benedict, Agyemang Frank Okyere, Ablordeppey Reynolds Kwame

机构信息

Eye Center, Komfo Anokye Teaching Hospital, Kumasi, Ghana; Department of Optometry, School of Allied Health Sciences, College of Health and Allied Science University of Cape-Coast, Cape-Coast, Ghana.

Department of Optometry, School of Allied Health Sciences, College of Health and Allied Science University of Cape-Coast, Cape-Coast, Ghana.

出版信息

Cont Lens Anterior Eye. 2016 Dec;39(6):411-415. doi: 10.1016/j.clae.2016.08.001. Epub 2016 Aug 6.

Abstract

PURPOSE

This study sought to provide an evidence-based profile of the diagnosis, treatment and knowledge or opinions on dry eye among optometrists and ophthalmologists in Ghana.

METHODS

This was a cross-sectional survey RESULTS: The responses of 162 participants are included in the analysis. The most commonly used test to diagnosed dry eye disease was tear break-up time followed by patient history. The most common symptom doctors heard from dry eye patients were burning sensation followed by foreign body sensation. The most often prescribed first- line treatment for dry eye was aqueous-based artificial tears followed by lipid-based artificial tears. Most practitioners considered meibomian gland dysfunction as the most common cause of dry eye followed by pterygium. The most often used test to guide or gauge therapeutic effect is patient history followed closely by tear break-up time. Most practitioners reported that 10%-20% of all their patients they see in a day are diagnosed of dry eye.

CONCLUSION

This study showed tear break up time was the main test majority of practitioners in Ghana used to diagnose dry eye but patient history was the main test used to gauge therapeutic effect over time. Burning sensation was the commonest symptom practitioners heard from dry eye patients whilst artificial tears was their main and first-line treatment for dry eye.

摘要

目的

本研究旨在提供加纳验光师和眼科医生对干眼症的诊断、治疗以及相关知识或看法的循证概况。

方法

这是一项横断面调查。结果:162名参与者的回复纳入分析。诊断干眼症最常用的检查是泪膜破裂时间,其次是患者病史。医生从干眼症患者那里听到的最常见症状是烧灼感,其次是异物感。干眼症最常开具的一线治疗药物是水基人工泪液,其次是脂质基人工泪液。大多数从业者认为睑板腺功能障碍是干眼症最常见的原因,其次是翼状胬肉。指导或评估治疗效果最常用的检查是患者病史,紧随其后的是泪膜破裂时间。大多数从业者报告称,他们每天接诊的患者中有10% - 20%被诊断为干眼症。

结论

本研究表明,泪膜破裂时间是加纳大多数从业者诊断干眼症的主要检查方法,但随着时间推移,患者病史是评估治疗效果的主要检查方法。烧灼感是从业者从干眼症患者那里听到的最常见症状,而人工泪液是他们治疗干眼症的主要一线药物。

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