眼假性剥脱综合征的腕管综合征电诊断征象。

Electrodiagnostic signs of carpal tunnel syndrome in ocular pseudoexfoliation syndrome.

机构信息

Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int Ophthalmol. 2022 Sep;42(9):2749-2755. doi: 10.1007/s10792-022-02264-y. Epub 2022 Apr 27.

DOI:10.1007/s10792-022-02264-y

PMID:35478398

Abstract

PURPOSE

To assess the occurrence and severity of electrodiagnostic signs of carpal tunnel syndrome (ED-CTS) in patients with ocular pseudoexfoliation (PEX) and compare them with normal subjects.

METHOD

A cross-sectional study with comparison group was designed and 60 patients with PEX were recruited from May 2019 to February 2021, and the findings were compared with 59 healthy subjects. All patients underwent complete ophthalmologic examination and nerve conduction velocity test at the median nerve was used to assess the occurrence and severity of ED-CTS in both hands.

RESULTS

The mean age of participants was 59.8 ± 4.5 years. Occurrence of ED-CTS was 38.3% in PEX patients and 20.3% in control subjects (P = 0.025). There was also a significant difference in the severityand presence of asymptomatic CTS (P < 0.05). Adjusting other variables, including; age and sex, having severe ED-CTS showed a 3.07fold higher chance in the PEX group (P = 0.005).

CONCLUSION

According to our finding, it seems there is a direct association between PEX and the occurrence, as well as severity of ED-CTS.

摘要

目的

评估眼发性假剥脱综合征（PEX）患者中腕管综合征（CTS）的电诊断（ED-CTS）的发生和严重程度，并与正常受试者进行比较。

方法

采用病例对照的横断面研究，于 2019 年 5 月至 2021 年 2 月招募 60 例 PEX 患者，并将结果与 59 例健康受试者进行比较。所有患者均接受完整的眼科检查，并使用正中神经传导速度测试评估双手 ED-CTS 的发生和严重程度。

结果

参与者的平均年龄为 59.8±4.5 岁。PEX 患者中 ED-CTS 的发生率为 38.3%，对照组为 20.3%（P=0.025）。无症状 CTS 的严重程度和存在也存在显著差异（P<0.05）。调整其他变量，包括年龄和性别后，PEX 组中严重 ED-CTS 的发生几率高 3.07 倍（P=0.005）。