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治疗智障患者青光眼:选择手术候选者的新标准。

Treating Glaucoma in Intellectually Disabled Patients: Novel Criteria for Choosing Surgical Candidates.

作者信息

Nash Mitchell G, Parrish Joseph G, Fleischman David

机构信息

The Eye Center of Oak Ridge, Oak Ridge, Tennessee, USA.

Department of Ophthalmology, University of Florida, Gainesville, Florida, USA.

出版信息

J Ophthalmol. 2025 Jun 9;2025:9752978. doi: 10.1155/joph/9752978. eCollection 2025.

Abstract

Patients with intellectual disabilities (IDs) have been associated with having a higher frequency of ocular pathologies, including glaucoma. However, despite this association, there is little guidance in the literature pertaining to patient management or outcomes after glaucoma surgery. Literature review of the management of surgical eye conditions in ID patients provides historical considerations in treatment of these patients and educates the community of providers caring for this population. Using these data, we propose a novel set of criteria for selecting which patients with ID and glaucoma should be offered glaucoma surgery.

摘要

智力障碍(ID)患者与包括青光眼在内的眼部疾病发病率较高有关。然而,尽管存在这种关联,但文献中关于青光眼手术后患者管理或预后的指导却很少。对ID患者手术眼部疾病管理的文献综述提供了治疗这些患者的历史考量,并对照顾这一人群的医疗人员群体进行了教育。利用这些数据,我们提出了一套全新的标准,用于选择哪些患有ID和青光眼的患者应接受青光眼手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/12170069/0b054b92a112/JOPH2025-9752978.001.jpg

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