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围手术期使用环孢素和瑞巴派特管理下户外活动对患者报告的视觉结果的影响。

The Effects of Outdoor Activity on Patient-Reported Visual Outcomes Under Perioperative Management Using Cyclosporine and Rebamipide.

作者信息

Lee Chung Min, Kim Nahee, Kim Min Young, Park Nahyun, Lee Yea Eun, Han Jeewon, Lee Hayoung, Eah Kyu Sang, Jeon Yoo Young, Chung Ho Seok, Kim Jae Yong, Lee Hun

机构信息

Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.

School of Medicine, Ewha Womans University, Seoul 03760, Republic of Korea.

出版信息

Diagnostics (Basel). 2025 Jun 26;15(13):1629. doi: 10.3390/diagnostics15131629.

DOI:10.3390/diagnostics15131629
PMID:40647628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12248811/
Abstract

: Visual recovery after cataract surgery may be affected by lifestyle and environmental factors. This study aimed to investigate the association between daily outdoor activity and patient-reported visual outcomes after cataract surgery under perioperative management using cyclosporine and rebamipide. : This retrospective study included 90 eyes from patients who underwent standardized cataract surgery with implantation of TECNIS Eyhance intraocular lenses. Patients were divided into two groups based on their average daily outdoor activity during the first postoperative month: Group 1 (≤3 h/day) and Group 2 (>3 h/day). Postoperative assessments included Cataract-related Visual Function Questionnaire (CVFQ) scores, uncorrected and corrected distance visual acuity, and ocular surface parameters such as tear breakup time, Oxford score, SICCA score, and OSDI. : Group 1 reported significantly higher CVFQ scores for daytime ( = 0.020) and night-time driving ( = 0.037) compared to Group 2, indicating lower levels of visual discomfort in these tasks. No significant differences were observed between the groups for other CVFQ subcategories or ocular surface parameters. : Except for driving-related discomfort, no significant differences were found in CVFQ scores between the groups. No difference in ocular surface parameters can be attributed to the perioperative management using cyclosporine and rebamipide. CVFQ may be a useful tool for assessing subjective visual outcomes after cataract surgery.

摘要

白内障手术后的视力恢复可能会受到生活方式和环境因素的影响。本研究旨在探讨在围手术期使用环孢素和瑞巴派特治疗的情况下,白内障手术后每日户外活动与患者报告的视力结果之间的关联。:这项回顾性研究纳入了90只接受标准化白内障手术并植入TECNIS Eyhance人工晶状体的患者的眼睛。根据术后第一个月的平均每日户外活动时间,将患者分为两组:第1组(≤3小时/天)和第2组(>3小时/天)。术后评估包括白内障相关视觉功能问卷(CVFQ)评分、未矫正和矫正远视力,以及眼表参数,如泪膜破裂时间、牛津评分、SICCA评分和OSDI。:与第2组相比,第1组在白天(=0.020)和夜间驾驶(=0.037)方面的CVFQ评分显著更高,表明这些任务中的视觉不适程度较低。两组在其他CVFQ子类别或眼表参数方面未观察到显著差异。:除了与驾驶相关的不适外,两组之间的CVFQ评分没有显著差异。眼表参数的差异不能归因于围手术期使用环孢素和瑞巴派特。CVFQ可能是评估白内障手术后主观视力结果的有用工具。

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本文引用的文献

1
Development of a Patient-Reported Outcome Measure to Assess Symptoms Associated with Cataract Surgery and Intraocular Lens Implants.开发一种患者报告的结局测量工具,以评估与白内障手术和人工晶状体植入相关的症状。
Ophthalmology. 2023 Jul;130(7):715-725. doi: 10.1016/j.ophtha.2023.02.026. Epub 2023 Apr 12.
2
Developing refractive management recommendations for patients undergoing cataract surgery: A Delphi study.制定接受白内障手术患者的屈光管理建议:德尔菲研究。
Ophthalmic Physiol Opt. 2023 Jan;43(1):150-159. doi: 10.1111/opo.13069. Epub 2022 Nov 16.
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Updated general exposure factors for risk assessment in the Korean population.
韩国人群风险评估的更新通用暴露因子。
J Expo Sci Environ Epidemiol. 2023 Nov;33(6):1013-1020. doi: 10.1038/s41370-022-00437-6. Epub 2022 Apr 14.
4
Eye protection following cataract surgery: a systematic review.白内障手术后的眼部保护:系统评价。
Can J Ophthalmol. 2023 Jun;58(3):179-186. doi: 10.1016/j.jcjo.2021.11.001. Epub 2021 Dec 2.
5
A comparative assessment of dry eye disease among outdoor street sweepers and indoor office cleaners.户外街道清扫工和室内办公室清洁工的干眼疾病比较评估。
BMC Ophthalmol. 2021 Jun 26;21(1):265. doi: 10.1186/s12886-021-02025-y.
6
Increased visual and cognitive demands emphasize the importance of meeting visual needs at all distances while driving.不断增加的视觉和认知需求强调了在驾驶过程中满足所有距离视觉需求的重要性。
PLoS One. 2021 Mar 16;16(3):e0247254. doi: 10.1371/journal.pone.0247254. eCollection 2021.
7
Impact of Air Pollution and Weather on Dry Eye.空气污染和天气对干眼症的影响
J Clin Med. 2020 Nov 20;9(11):3740. doi: 10.3390/jcm9113740.
8
When is refraction stable following routine cataract surgery? A systematic review and meta-analysis.常规白内障手术后屈光度何时稳定?系统评价和荟萃分析。
Ophthalmic Physiol Opt. 2020 Sep;40(5):531-539. doi: 10.1111/opo.12719. Epub 2020 Jul 22.
9
Experiences following cataract surgery - patient perspectives.白内障手术后的体验——患者视角。
Ophthalmic Physiol Opt. 2020 Sep;40(5):540-548. doi: 10.1111/opo.12709. Epub 2020 Jul 11.
10
The use of patient-reported outcome research in modern ophthalmology: impact on clinical trials and routine clinical practice.患者报告结局研究在现代眼科中的应用:对临床试验和常规临床实践的影响。
Patient Relat Outcome Meas. 2019 Jan 24;10:9-24. doi: 10.2147/PROM.S162802. eCollection 2019.