眼痛的诊断与治疗：眼科医生的观点
Diagnosis and Treatment of Ocular Pain: the Ophthalmologist's Perspective.
作者信息
Jacobs Deborah S
机构信息
BostonSight, Needham, MA USA.
Harvard Medical School, Boston, MA USA.
出版信息
Curr Ophthalmol Rep. 2017;5(4):271-275. doi: 10.1007/s40135-017-0152-1. Epub 2017 Nov 2.
PURPOSE OF REVIEW
The aim of this review is to help ophthalmologists and other clinicians understand and treat ocular neuropathic pain.
RECENT FINDINGS
Advances in the field of neurophysiology of ocular sensations explain why some cases of dry eye may represent a pain syndrome rather than a problem related to tear status. Principles related to management of pain syndromes such as persistent post-operative pain and complex regional pain syndrome are relevant to the care of these patients.
SUMMARY
Specific strategies for the ophthalmologist, including multimodal therapy comprised of local and systemic approaches, can be helpful in the care of patients with problematic ocular pain. Rather than dismiss these syndromes and these patients, ophthalmologists can serve these patients and the profession well by incorporating an understanding of ocular neuropathic pain into their practice and by collaboration in the care of patients with problematic ocular pain.
综述目的
本综述旨在帮助眼科医生和其他临床医生理解并治疗眼部神经性疼痛。
最新发现
眼部感觉神经生理学领域的进展解释了为何某些干眼症病例可能代表一种疼痛综合征，而非与泪液状态相关的问题。与疼痛综合征管理相关的原则，如持续性术后疼痛和复杂性区域疼痛综合征，与这些患者的护理相关。
总结
眼科医生的特定策略，包括由局部和全身方法组成的多模式治疗，有助于护理有问题的眼部疼痛患者。眼科医生不应忽视这些综合征和这些患者，而是通过将对眼部神经性疼痛的理解纳入其实践，并在护理有问题的眼部疼痛患者时进行协作，从而为这些患者和该专业提供良好服务。
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