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特发性颅内高压——视光师如何助力改善护理?

Idiopathic Intracranial Hypertension - How Can Orthoptists Help Improve Care?

作者信息

MacKeith Daisy

机构信息

Cambridge University Hospitals NHS Foundation Trust, UK.

出版信息

Br Ir Orthopt J. 2024 Dec 6;20(1):258-263. doi: 10.22599/bioj.427. eCollection 2024.

Abstract

Care for people with idiopathic intracranial hypertension (IIH) needs improving and I think orthoptists are in a perfect position to help.   People with fulminant IIH are still losing sight due to delayed diagnosis or mismanagement.People with IIH often have a poor quality of life due to disabling chronic headaches and poor mental health.There is a lack of access to evidence-based weight-loss interventions and support.Weight stigma in healthcare remains pervasive and damaging and disproportionately impacts women.Functional vision loss and headaches in IIH can complicate the interpretation of visual function which can have implications for management.There is a lack of evidence to support treatment options. Below I will describe the issues in more detail and outline the ways in which we as orthoptists can help this patient group.

摘要

对特发性颅内高压(IIH)患者的护理需要改进,我认为视光师完全有能力提供帮助。暴发性IIH患者仍因诊断延迟或管理不当而失明。IIH患者常因慢性头痛致残和心理健康不佳而生活质量低下。缺乏基于证据的减肥干预措施和支持。医疗保健中的体重歧视仍然普遍存在且具有破坏性,对女性的影响尤为严重。IIH患者的功能性视力丧失和头痛会使视觉功能的解读复杂化,从而影响治疗管理。缺乏支持治疗方案的证据。以下我将更详细地描述这些问题,并概述视光师可以帮助这一患者群体的方式。

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本文引用的文献

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How do I manage functional visual loss.我该如何管理功能性视力丧失。
Eye (Lond). 2024 Aug;38(12):2257-2266. doi: 10.1038/s41433-024-03126-w. Epub 2024 May 22.

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