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现代社会及青光眼患者的干眼病综合征诊断:一项前瞻性研究。

Diagnosing the Dry Eye Syndrome in modern society and among patients with glaucoma: a prospective study.

机构信息

"Novamed" Polyvalent Hospital, Chişinău, Republic of Moldova.

State University of Medicine and Pharmacy, Chişinău, Republic of Moldova.

出版信息

Rom J Ophthalmol. 2020 Jan-Mar;64(1):35-42.

Abstract

The dry eye syndrome (DES) is a disease of the ocular surface, which can become a social issue in our country, given the changes in lifestyle as a consequence of the economic and technological developments of the last decade. A current problem is the prevalence of DES in patients with glaucoma. The glaucoma treatment, especially the prolonged instillation of preservative-containing medicines, is an important factor in DES morbidity, especially in people aged over 40. In this paper, we presented the findings of our study, which was aimed at assessing the prevalence of DES in the Republic of Moldova and the effect of this impairment on the quality of life. 353 patients (706 eyes) were investigated using the data provided by the visual acuity (VA) and slit-lamp examinations, Schirmer's test results, and the Ocular Surface Disease Index (OSDI) score. Our findings showed a high estimate of signs and symptoms of DES (67.4%) and their impact on the quality of life. Simultaneously, we aimed to analyze the issue of DES in patients with glaucoma. To this end, we examined 30 cases with primary open angle (POA) glaucoma. We also presented a clinical case, in which the prospect of associating the two pathologies in a patient was considered.

摘要

干眼症(DES)是一种眼表疾病,由于过去十年经济和技术发展带来的生活方式变化,它可能成为我国的一个社会问题。目前存在的一个问题是,青光眼患者中 DES 的患病率较高。青光眼的治疗,特别是含有防腐剂的药物的长期滴注,是 DES 发病率的一个重要因素,尤其是在 40 岁以上的人群中。在本文中,我们介绍了我们的研究结果,该研究旨在评估摩尔多瓦共和国 DES 的患病率及其对生活质量的影响。使用视力(VA)和裂隙灯检查、Schirmer 测试结果和眼表面疾病指数(OSDI)评分提供的数据,对 353 名患者(706 只眼)进行了调查。我们的研究结果显示,DES 的体征和症状(67.4%)及其对生活质量的影响被高估了。同时,我们旨在分析青光眼患者的 DES 问题。为此,我们检查了 30 例原发性开角(POA)青光眼患者。我们还介绍了一个临床病例,考虑了在一个患者中同时存在这两种病理的可能性。

相似文献

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Prevalence of ocular surface disease in glaucoma patients.青光眼患者眼表疾病的患病率。
J Glaucoma. 2008 Aug;17(5):350-5. doi: 10.1097/IJG.0b013e31815c5f4f.

本文引用的文献

1
Diagnosing the severity of dry eye: a clear and practical algorithm.诊断干眼严重程度:清晰实用的算法。
Br J Ophthalmol. 2014 Sep;98(9):1168-76. doi: 10.1136/bjophthalmol-2013-304619. Epub 2014 Mar 13.
2
Ocular surface and external filtration surgery: mutual relationships.眼表与外滤过手术:相互关系
Dev Ophthalmol. 2012;50:64-78. doi: 10.1159/000334791. Epub 2012 Apr 17.
5
Dry eye disease as an inflammatory disorder.干眼症作为一种炎症性疾病。
Ocul Immunol Inflamm. 2010 Aug;18(4):244-53. doi: 10.3109/09273941003721926.
10
Selective laser trabeculoplasty: a review.选择性激光小梁成形术:综述
J Glaucoma. 2008 Sep;17(6):497-502. doi: 10.1097/IJG.0b013e31817d2386.

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