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葡萄膜炎患者低视力的视觉康复。

Visual rehabilitation of patients with low vision in uveitis.

机构信息

School of Chemical and Biotechnology, Shanmugha Arts Science, Technology and Research Academy University, Thanjavur; Low Vision Care Clinic, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Department of Uvea, Sankara Nethralaya, Chennai, Tamil Nadu, India.

出版信息

Indian J Ophthalmol. 2019 Jan;67(1):101-104. doi: 10.4103/ijo.IJO_875_18.

Abstract

PURPOSE

To elucidate the clinical profile of visual impairment (VI) and rehabilitation of the uveitic patients with irreversible low vision.

METHODS

Retrospective analysis of visual rehabilitation of patients with uveitis suffering from poor vision with low vision devices (LVD).

RESULTS

Most common cause of uveitis was choroiditis (46.29%), followed by retinitis (25.92%), retinochoroiditis (18.51%), and chronic panuveitis sequelae (9.25%). Of these 54 cases, 35.18% had moderate VI, 25.92% had severe VI, 20.37% had mild VI, and 18.51% had profound VI or blindness. Statistically significant improvement (P < 0.05) in near vision was seen in choroiditis (52%) and retinitis (72%), whereas clinically significant improvement in distance vision was found in patients with choroiditis. Most commonly prescribed LVD was half-eye prismatic spectacle magnifier (22.2%).

CONCLUSION

Rehabilitation of the uveitic patients with low vision is challenging. LVD may be a beneficial tool in these patients to help them perform their day-to-day activities independently.

摘要

目的

阐明患有不可逆低视力的葡萄膜炎患者的视力障碍(VI)临床特征和康复情况。

方法

回顾性分析使用低视力设备(LVD)对视力不佳的葡萄膜炎患者进行视觉康复的情况。

结果

最常见的葡萄膜炎病因是脉络膜炎(46.29%),其次是视网膜炎(25.92%)、视网膜脉络膜炎(18.51%)和慢性全葡萄膜炎后遗症(9.25%)。在这 54 例患者中,35.18%为中度 VI,25.92%为重度 VI,20.37%为轻度 VI,18.51%为重度 VI 或失明。脉络膜炎(52%)和视网膜炎(72%)的近视力有统计学意义的改善(P<0.05),而脉络膜炎患者的远视力有临床意义的改善。最常开的 LVD 是半眼棱镜眼镜放大镜(22.2%)。

结论

低视力葡萄膜炎患者的康复具有挑战性。LVD 可能是这些患者的有益工具,帮助他们独立完成日常活动。

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