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房水血小板反应蛋白联合ENA78对糖尿病新生血管性青光眼患者抗VEGF治疗的疗效预测价值
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作者 段晓燕 边德换 《吉林医学》 2026年第2期217-220,共4页
目的:分析房水血小板反应蛋白-1(TSP-1)和上皮中性粒细胞活化肽78(ENA78)与糖尿病新生血管性青光眼(NVG)患者抗血管内皮生长因子(VEGF)治疗效果的关系及其联合预测效能。方法:回顾性选取2021年5月~2024年8月天津市西青医院收治的96例NV... 目的:分析房水血小板反应蛋白-1(TSP-1)和上皮中性粒细胞活化肽78(ENA78)与糖尿病新生血管性青光眼(NVG)患者抗血管内皮生长因子(VEGF)治疗效果的关系及其联合预测效能。方法:回顾性选取2021年5月~2024年8月天津市西青医院收治的96例NVG患者临床资料,所有患者均接受抗VEGF治疗。根据治疗效果将患者分为有效组和无效组,分别检验并比较两组患者治疗前、治疗后4周的房水TSP-1和ENA78水平。采用多因素Logistic回归分析房水TSP-1和ENA78对NVG患者抗VEGF疗效的影响因素。与此同时,依托受试者工作特征(ROC)曲线评估房水TSP-1以及ENA78对于患者抗VEGF疗效所具有的预测价值。结果:96例患者中,治疗有效者83例(有效组),治疗无效者13例(无效组),在治疗前两组患者的房水TSP-1和ENA78差异无统计学意义(P>0.05),具有可比性。治疗后有效组的房水TSP-1和ENA78明显低于无效组,差异有统计学意义(P<0.05)。Logistic回归分析的结果表明,房水TSP-1与ENA78皆为影响NVG患者抗VEGF疗效的独立风险因素(P<0.05)。房水TSP-1和ENA78联合预测患者抗VEGF治疗效果的曲线下面积(AUC)高于二者单独预测,差异有统计学意义(P<0.05);房水TSP-1和ENA 78联合预测NVG患者抗VEGF治疗效果的特异度与二者单独预测的特异度无显著差异(P>0.05)。结论:房水TSP-1以及ENA78水平高于正常人群,抗VEGF治疗具有一定的效果,但其无效率较高。房水TSP-1与ENA78作为是患者抗VEGF治疗效果的有效预测因素,二者联合可对患者抗VEGF治疗效果进行有效性预测。 展开更多
关键词 房水TSP-1 ENA78 糖尿病新生血管性青光眼 抗VEGF治疗 疗效预测
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心理弹性与自我管理行为在青光眼老年患者抑郁与生活质量的中介效应研究
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作者 郝亚静 崔霞 +1 位作者 李晓陵 蒋洪 《中国医药导报》 2026年第2期101-106,共6页
目的探讨心理弹性与自我管理行为在青光眼老年患者抑郁与生活质量关系中的中介作用。方法选取2025年1月至6月在解放军总医院就诊的青光眼老年患者,采用简版老年抑郁量表、简版心理弹性量表、青光眼自我管理行为问卷及青光眼生活质量量... 目的探讨心理弹性与自我管理行为在青光眼老年患者抑郁与生活质量关系中的中介作用。方法选取2025年1月至6月在解放军总医院就诊的青光眼老年患者,采用简版老年抑郁量表、简版心理弹性量表、青光眼自我管理行为问卷及青光眼生活质量量表进行调查,采用Pearson检验和中介效应检验分析抑郁、心理弹性、自我管理行为及生活质量的关系。结果最终纳入294例,男209例(71.1%),女85例(28.9%)。相关性分析结果显示,抑郁与心理弹性、自我管理行为及生活质量呈负相关(r=-0.300、-0.338、-0.638,P<0.01);心理弹性与自我管理行为在抑郁与生活质量之间均发挥部分中介作用,分别占总效应的16.14%和17.32%。结论抑郁不仅直接影响青光眼老年患者的生活质量,还可通过心理弹性与自我管理行为间接影响。因此,今后也可通过提升青光眼老年患者心理弹性与自我管理能力,以改善其整体健康结局。 展开更多
关键词 青光眼 老年患者 抑郁 心理弹性 自我管理行为 生活质量 中介效应
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肠道菌群-免疫轴与青光眼发病的相关性分析
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作者 郭聪 李娜 +2 位作者 汤婉玉 常新奇 王一鹏 《免疫学杂志》 2026年第2期150-155,共6页
青光眼是一种不可逆的致盲性眼病,全球范围内受其影响的人数众多。在我国,青光眼的患病率随年龄增长而显著升高,严重威胁着人们的视觉健康和生活质量。青光眼以特征性视神经萎缩和视野缺损为主要表现,眼压升高是其主要危险因素,但部分... 青光眼是一种不可逆的致盲性眼病,全球范围内受其影响的人数众多。在我国,青光眼的患病率随年龄增长而显著升高,严重威胁着人们的视觉健康和生活质量。青光眼以特征性视神经萎缩和视野缺损为主要表现,眼压升高是其主要危险因素,但部分正常眼压性青光眼患者提示还有其他未明确的致病机制。近年来,随着研究的不断深入,肠道菌群-免疫轴在多种疾病发生发展中的作用逐渐受到关注。青光眼患者肠道菌群存在特异性异常,如双歧杆菌、乳酸杆菌等有益菌减少,大肠杆菌、肠球菌等有害菌增多,其代谢产物短链脂肪酸水平改变可能通过免疫调节影响视神经损伤过程,提示肠道菌群-免疫轴紊乱或许在青光眼发病中起重要作用,为青光眼发病的潜在关联提供了新的研究方向。 展开更多
关键词 青光眼 肠道菌群-免疫轴 代谢产物 相关性 综述
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以炎症性青光眼为首发表现ANCA相关血管炎1例
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作者 李晓红 《承德医学院学报》 2026年第1期66-68,共3页
1病例资料患者男性,59岁,主因双眼红、痒7 d,视力下降伴头痛2 d,于2022年10月就诊。患者7 d前于外院诊断为:过敏性结膜炎。给予伊美斯汀及普拉洛芬滴眼液点眼,2 d前头痛加重伴视物模糊,于承德医学院附属医院眼科测眼压:右眼31 mmHg,左眼... 1病例资料患者男性,59岁,主因双眼红、痒7 d,视力下降伴头痛2 d,于2022年10月就诊。患者7 d前于外院诊断为:过敏性结膜炎。给予伊美斯汀及普拉洛芬滴眼液点眼,2 d前头痛加重伴视物模糊,于承德医学院附属医院眼科测眼压:右眼31 mmHg,左眼45 mmHg。诊断“双眼青光眼”入院。既往无高血压及糖尿病病史,近期无感冒发热等症状。专科检查:视力右0.6,左0.5,双眼结膜混合充血,角膜清,色素性KP(++),前房中深,房闪(+),瞳孔圆,右瞳孔直径3 mm,光反射正常,左瞳孔直径4 mm,光反射迟钝,晶体透明,眼底未见异常。 展开更多
关键词 炎症性青光眼 ANCA相关血管炎 诊断 治疗
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Overexpression of the inwardly rectifying potassium channel Kir4.1 or Kir4.1 Tyr^(9)Asp in Müller cells exerts neuroprotective effects in an experimental glaucoma model 被引量:1
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作者 Fang Li Zhen Li +6 位作者 Shuying Li Hong Zhou Yunhui Guo Yongchen Wang Bo Lei Yanying Miao Zhongfeng Wang 《Neural Regeneration Research》 2026年第4期1628-1640,共13页
Downregulation of the inwardly rectifying potassium channel Kir4.1 is a key step for inducing retinal Müller cell activation and interaction with other glial cells,which is involved in retinal ganglion cell apopt... Downregulation of the inwardly rectifying potassium channel Kir4.1 is a key step for inducing retinal Müller cell activation and interaction with other glial cells,which is involved in retinal ganglion cell apoptosis in glaucoma.Modulation of Kir4.1 expression in Müller cells may therefore be a potential strategy for attenuating retinal ganglion cell damage in glaucoma.In this study,we identified seven predicted phosphorylation sites in Kir4.1 and constructed lentiviral expression systems expressing Kir4.1 mutated at each site to prevent phosphorylation.Following this,we treated Müller glial cells in vitro and in vivo with the m Glu R I agonist DHPG to induce Kir4.1 or Kir4.1 Tyr^(9)Asp overexpression.We found that both Kir4.1 and Kir4.1 Tyr^(9)Asp overexpression inhibited activation of Müller glial cells.Subsequently,we established a rat model of chronic ocular hypertension by injecting microbeads into the anterior chamber and overexpressed Kir4.1 or Kir4.1 Tyr^(9)Asp in the eye,and observed similar results in Müller cells in vivo as those seen in vitro.Both Kir4.1 and Kir4.1 Tyr^(9)Asp overexpression inhibited Müller cell activation,regulated the balance of Bax/Bcl-2,and reduced the m RNA and protein levels of pro-inflammatory factors,including interleukin-1βand tumor necrosis factor-α.Furthermore,we investigated the regulatory effects of Kir4.1 and Kir4.1 Tyr^(9)Asp overexpression on the release of pro-inflammatory factors in a co-culture system of Müller glial cells and microglia.In this co-culture system,we observed elevated adenosine triphosphate concentrations in activated Müller cells,increased levels of translocator protein(a marker of microglial activation),and elevated interleukin-1βm RNA and protein levels in microglia induced by activated Müller cells.These changes could be reversed by Kir4.1 and Kir4.1 Tyr^(9)Asp overexpression in Müller cells.Kir4.1 overexpression,but not Kir4.1 Tyr^(9)Asp overexpression,reduced the number of proliferative and migratory microglia induced by activated Müller cells.Collectively,these results suggest that the tyrosine residue at position nine in Kir4.1 may serve as a functional modulation site in the retina in an experimental model of glaucoma.Kir4.1 and Kir4.1 Tyr^(9)Asp overexpression attenuated Müller cell activation,reduced ATP/P2X receptor–mediated interactions between glial cells,inhibited microglial activation,and decreased the synthesis and release of pro-inflammatory factors,consequently ameliorating retinal ganglion cell apoptosis in glaucoma. 展开更多
关键词 apoptosis chronic ocular hypertension glial cell activation Kir4.1 overexpression Kir4.1 Tyr^(9)Asp mutation microglia Müller cells NEUROINFLAMMATION neuroprotection retinal ganglion cells
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长链非编码RNA在青光眼中的研究进展
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作者 胡文 黄光怡 徐帆 《国际眼科杂志》 2026年第2期237-242,共6页
青光眼是全球范围内不可逆致盲性眼病的首要病因,其病理特征主要表现为视网膜神经节细胞(RGCs)的进行性变性及轴突损伤。尽管相关研究已经取得进展,但其发病机制尚未完全阐明。近年来,长链非编码RNA(lncRNA)在青光眼病理机制中的作用逐... 青光眼是全球范围内不可逆致盲性眼病的首要病因,其病理特征主要表现为视网膜神经节细胞(RGCs)的进行性变性及轴突损伤。尽管相关研究已经取得进展,但其发病机制尚未完全阐明。近年来,长链非编码RNA(lncRNA)在青光眼病理机制中的作用逐渐成为研究热点。研究表明,lncRNA作为基因表达调节因子,参与青光眼的发生、发展及治疗应答等病理生理过程。文章系统综述lncRNA在青光眼领域研究中的最新进展,以期为后续研究提供理论依据。 展开更多
关键词 长链非编码RNA 青光眼 研究进展
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白藜芦醇对啮齿类动物青光眼视网膜神经节细胞的神经保护作用:叙述性综述
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《中国比较医学杂志》 北大核心 2026年第1期113-113,共1页
青光眼是一种不可逆的视神经病变,主要影响视网膜神经节细胞(RGC),导致视力下降和失明。青光眼对RGCs的损害通过多种机制发生,包括眼压升高、氧化应激、炎症和其他神经退行性过程。随着病情的发展,RGCs的丢失会导致视力丧失。因此,保护R... 青光眼是一种不可逆的视神经病变,主要影响视网膜神经节细胞(RGC),导致视力下降和失明。青光眼对RGCs的损害通过多种机制发生,包括眼压升高、氧化应激、炎症和其他神经退行性过程。随着病情的发展,RGCs的丢失会导致视力丧失。因此,保护RGCs免受损伤并促进其存活是治疗青光眼的重要目标。 展开更多
关键词 白藜芦醇 视网膜神经节细胞 青光眼
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Synapses and dendritic spines are eliminated in the primary visual cortex of mice subjected to chronic intraocular pressure elevation
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作者 Xinyi Zhang Deling Li +6 位作者 Weiting Zeng Yiru Huang Zongyi Zhan Yuning Zhang Qinyuan Hu Lianyan Huang Minbin Yu 《Neural Regeneration Research》 2026年第3期1236-1248,共13页
Synaptic plasticity is essential for maintaining neuronal function in the central nervous system and serves as a critical indicator of the effects of neurodegenerative disease.Glaucoma directly impairs retinal ganglio... Synaptic plasticity is essential for maintaining neuronal function in the central nervous system and serves as a critical indicator of the effects of neurodegenerative disease.Glaucoma directly impairs retinal ganglion cells and their axons,leading to axonal transport dysfuntion,subsequently causing secondary damage to anterior or posterior ends of the visual system.Accordingly,recent evidence indicates that glaucoma is a degenerative disease of the central nervous system that causes damage throughout the visual pathway.However,the effects of glaucoma on synaptic plasticity in the primary visual cortex remain unclear.In this study,we established a mouse model of unilateral chronic ocular hypertension by injecting magnetic microbeads into the anterior chamber of one eye.We found that,after 4 weeks of chronic ocular hypertension,the neuronal somas were smaller in the superior colliculus and lateral geniculate body regions of the brain contralateral to the affected eye.This was accompanied by glial cell activation and increased expression of inflammatory factors.After 8 weeks of ocular hypertension,we observed a reduction in the number of excitatory and inhibitory synapses,dendritic spines,and activation of glial cells in the primary visual cortex contralateral to the affected eye.These findings suggest that glaucoma not only directly damages the retina but also induces alterations in synapses and dendritic spines in the primary visual cortex,providing new insights into the pathogenesis of glaucoma. 展开更多
关键词 chronic ocular hypertension dendritic spines GLAUCOMA glial cells NEUROINFLAMMATION NEURON retinal ganglion cells synaptic plasticity visual cortex visual pathway
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Targeting Wallerian degeneration in glaucoma
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作者 Melissa Jöe Pete A.Williams 《Neural Regeneration Research》 2026年第2期693-694,共2页
Neurodegenerative diseases account for a large and increasing health and economic burden worldwide.With an increasingly aged population,this burden is set to increase.Optic neuropathies make up a large proportion of n... Neurodegenerative diseases account for a large and increasing health and economic burden worldwide.With an increasingly aged population,this burden is set to increase.Optic neuropathies make up a large proportion of neurodegenerative diseases with glaucoma being highly prevalent.Glaucoma is characterized by the progressive dysfunction and loss of retinal ganglion cells and their axons which make up the optic nerve.It is the leading cause of irreversible vision loss and affects an estimated 80 million people.The mammalian central nervous system is non-regenerative and,once lost or injured,retinal ganglion cells cannot regenerate an axon into the optic nerve under basal conditions.Thus,strategies that provide neuroprotection to stressed,dysfunctional,or dying retinal ganglion cells are likely to be of high therapeutic and translational value.Advancing age,genetics,and elevated intraocular pressure are all major risk factors for glaucoma,however,all clinically available glaucoma treatments focus on intraocular pressure management and do not directly address the neurodegenerative component of glaucoma. 展开更多
关键词 health burden neurodegenerative diseases aged population Wallerian degeneration GLAUCOMA vision loss economic burden retinal ganglion cells their axons
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R-28 cell-derived extracellular vesicles protect retinal ganglion cells in glaucoma
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作者 Esmahan Durmaz Maryam Esmaeili +3 位作者 Philip Lewis Gloria Cimaglia Aled Clayton Ben Mead 《Neural Regeneration Research》 2026年第5期2073-2080,共8页
Glaucoma is characterized by chronic progressive optic nerve damage and retinal ganglion cell death.Although extensive research has been conducted on neuroprotection for retinal ganglion cells,there is still no treatm... Glaucoma is characterized by chronic progressive optic nerve damage and retinal ganglion cell death.Although extensive research has been conducted on neuroprotection for retinal ganglion cells,there is still no treatment for clinical use.Recent evidence shows that extracellular vesicles isolated from a variety of stem cells are efficacious in retinal ganglion cell neuroprotection.In this study,we tested the novel extracellular vesicle source of the retinal progenitor R-28 cell line in vitro and in vivo.We isolated and characterized extracellular vesicles from R-28 cells and tested their therapeutic efficacy in terms of retinal ganglion cell survival in vitro and in an in vivo glaucoma model,measuring retinal ganglion cell survival and preservation of their axons.Additionally,we tested extracellular vesicles for their neuroprotective capacity in retinal ganglion cells differentiated from human embryonic stem cells.Finally,we investigated miRNA changes in retinal ganglion cells with R-28 extracellular vesicle treatment,and predicted possible pathways that may be modulated.R-28 extracellular vesicles improved retinal ganglion cell survival but failed to preserve axons significantly.Moreover,the results also illustrated the neuroprotection of R-28 extracellular vesicles on human retinal ganglion cells.Finally,we also showed changes in hsa-miRNA-4443,hsa-miRNA-216a-5p,hsa-let-7e-5p,hsa-miRNA-374b-5p,hsa-miRNA-331-3p,and hsa-miRNA-421 expressions,which may have neuroprotective potential on retinal ganglion cell degeneration.This study will pave the way for miRNA and extracellular vesicle-based neuroprotective therapies for glaucoma. 展开更多
关键词 extracellular vesicles GLAUCOMA MIRNA NEUROPROTECTION R-28 cell line retinal ganglion cells
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Tumor Necrosis Factor Alpha-Mediated Interaction Between Microglia and Müller Cells Exacerbates Retinal Ganglion Cell Damage in Experimental Glaucoma
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作者 Shu-Ying Li Hong Zhou +7 位作者 Guoli Zhao Wen-Wen Ding Yu Zhang Yong-Chen Wang Fang Li Yanying Miao Xing-Huai Sun Zhongfeng Wang 《Neuroscience Bulletin》 2026年第1期127-152,共26页
Interaction between Müller cells and microglia aggravates neuroinflammation,resulting in retinal ganglion cell(RGC)death in glaucoma.Here,we investigated how tumor necrosis factor-alpha(TNF-α)produced by activat... Interaction between Müller cells and microglia aggravates neuroinflammation,resulting in retinal ganglion cell(RGC)death in glaucoma.Here,we investigated how tumor necrosis factor-alpha(TNF-α)produced by activated microglia mediates the crosstalk between Müller cells and microglia and impacts RGC injury in a chronic ocular hypertension(COH)glaucoma model.In COH retinas,elevated TNF-αinduced the activation of Müller cells and microglia,and recruited microglia to the ganglion cell layer.Co-culture with Müller cells enhanced TNF-α-induced microglial activation,migration,and proliferation.Both in vivo and in vitro experiments confirmed that chemokine C-C motif ligand 2(CCL2),primarily released from Müller cells,mediated the TNF-α-induced effects on microglia in COH retinas.Knockdown of CCL2 attenuated RGC damage and vision loss.Our results demonstrate that TNF-αreleased from microglia induces the secretion of CCL2 from Müller cells,thus inducing microglial activation and migration,exacerbating retinal neuroinflammation and RGC injury in glaucoma. 展开更多
关键词 GLAUCOMA TNF-α Müller cells MICROGLIA CCL2 NEUROINFLAMMATION
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别让青光眼“偷走”我们的视力
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作者 何旭亭 《家庭医药(快乐养生)》 2026年第1期58-59,共2页
在眼科疾病的众多“成员”中,青光眼宛如一位潜伏在暗处的“视力杀手”,悄无声息地侵蚀着人们的视觉,给患者的生活带来极大的困扰。世界卫生组织公布的数据显示,青光眼已成为全球第二大致盲眼病,更为严峻的是,它所导致的视力损伤具有不... 在眼科疾病的众多“成员”中,青光眼宛如一位潜伏在暗处的“视力杀手”,悄无声息地侵蚀着人们的视觉,给患者的生活带来极大的困扰。世界卫生组织公布的数据显示,青光眼已成为全球第二大致盲眼病,更为严峻的是,它所导致的视力损伤具有不可逆性。由于早期症状极为隐匿,许多患者在确诊时,往往已经出现了严重的视野缺损,甚至已经失明。因此,深入了解青光眼,掌握早期发现它的方法,对于守护我们的视力健康而言,具有至关重要的意义。 展开更多
关键词 致盲眼病 视觉 视野缺损 视力杀手 眼科疾病 青光眼
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青光眼:隐匿的“视力小偷”
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作者 倪海栋 《家庭医药(快乐养生)》 2026年第3期90-90,共1页
在众多眼科疾病中,青光眼堪称一位隐匿的“视力小偷”,不知不觉中威胁着人们的视力健康。据统计,全球约有8000万青光眼患者,而我国患者人数已超2000万,且这一数字仍在持续攀升。青光眼的致盲率高达30%,是全球第二大致盲眼病。面对如此... 在众多眼科疾病中,青光眼堪称一位隐匿的“视力小偷”,不知不觉中威胁着人们的视力健康。据统计,全球约有8000万青光眼患者,而我国患者人数已超2000万,且这一数字仍在持续攀升。青光眼的致盲率高达30%,是全球第二大致盲眼病。面对如此严峻的形势,早发现、早治疗成为守护视力的关键。 展开更多
关键词 患者 视力小偷 致盲 眼科疾病 早发现 青光眼
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两种不同能量选择性激光小梁成形术治疗原发性开角型青光眼的24 h眼压观察
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作者 邱思羽 房召彬 肖明 《中国眼耳鼻喉科杂志》 2026年第1期16-21,共6页
目的比较2种不同能量的选择性激光小梁成形术(SLT)治疗原发性开角型青光眼(POAG)前后的24 h眼压变化。方法选择我院眼科门诊中原发性开角型青光眼患者73例(146眼),随机分为A组和B组,术前均进行常规视力、裂隙灯、眼底、视野及24 h眼压... 目的比较2种不同能量的选择性激光小梁成形术(SLT)治疗原发性开角型青光眼(POAG)前后的24 h眼压变化。方法选择我院眼科门诊中原发性开角型青光眼患者73例(146眼),随机分为A组和B组,术前均进行常规视力、裂隙灯、眼底、视野及24 h眼压检查。A组(37例,74眼)为较低能量治疗组,行全周0.4 mJ选择性激光小梁成形术;B组(36例,72眼)为常规能量对照组,行全周0.6 mJ选择性激光小梁成形术。SLT术后的1 h、1周,均进行单次眼压测量;术后1个月再次测量24 h眼压。比较2组患者进行SLT治疗前后的24 h眼压变化情况。24 h眼压监测方法:用非接触性眼压计从8:00起每隔2 h测1次眼压。结果2组患者性别、年龄、视盘杯盘比(C/D)、视野平均缺损(MD)、眼部用药情况及24 h基线眼压差异均无统计学意义(P>0.05)。2组患者术前平均眼压:A组(15.68±2.94)mmHg(1 mmHg=0.133 kPa),B组(14.89±2.69)mmHg;SLT激光术后1 h[A组(20.10±3.68)mmHg,B组(18.85±3.03)mmHg]、术后1周[A组(17.15±4.40)mmHg,B组(15.78±3.23)mmHg]的眼压平均值较术前均升高,升高幅度随时间递减;A组激光术后1 h升高较术前差异有统计学意义(P<0.05),术后1周升高较术前差异无统计学意义(P>0.05);B组激光术后1 h及术后1周升高较术前差异均有统计学意义(P<0.05)。2组患者激光术后1个月的24 h眼压:组内,全天12个眼压监测点,眼压平均值均低于术前,A组、B组均各有10个时间点的眼压与术前差异有统计学意义(P<0.05);组间,全天12个眼压监测点,眼压平均值差异均无统计学意义(P>0.05)。2组患者激光治疗后1个月的24 h眼压最大差值比较,术后[A组(6.76±2.32)mmHg,B组(6.95±2.57)mmHg]均低于术前[A组(7.55±2.70)mmHg,B组(8.55±2.43)mmHg],差异有统计学意义(P<0.05)。结论2种能量的SLT在治疗POAG的早期均存在一过性眼压升高现象,低能量治疗可能恢复得更快;治疗后1个月,2种能量的SLT降低24 h眼压的效果相似;可见低能量SLT能安全、有效地控制POAG患者的眼压。 展开更多
关键词 青光眼 激光 24 h眼压 选择性激光小梁成形术 原发性开角型青光眼 能量
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头痛、恶心,也可能是青光眼来袭
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作者 崔丽颖 《家庭医药(快乐养生)》 2026年第3期38-39,共2页
你有没有过这样的经历:突然感觉眼睛胀疼,看灯时周围多了一圈彩色光圈,又或者头痛、恶心,以为是肠胃问题?可千万别大意,这些症状可能是青光眼发出的“预警信号”!
关键词 头痛 预警信号 眼睛胀疼 彩色光圈 恶心 青光眼
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Dual role of microglia in glaucoma:Regulation of neuroinflammation and neuroregeneration
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作者 Panpan Li Xin Shi Verena Prokosch 《Neural Regeneration Research》 2026年第6期2266-2274,共9页
Globally,glaucoma stands as a primary cause of irreversible blindness,marked by intricate pathophysiological processes in which neuroinflammation plays a pivotal role.As the principal immune cells within the central n... Globally,glaucoma stands as a primary cause of irreversible blindness,marked by intricate pathophysiological processes in which neuroinflammation plays a pivotal role.As the principal immune cells within the central nervous system,microglia play a dual function in the progression of glaucoma.Under standard physiological states,microglia safeguard the retina by offering neurotrophic support and removing cellular debris.In the pathological progression of glaucoma,microglia become activated and release significant levels of inflammatory factors,resulting in retinal ganglion cell injury,cell death,and impaired neuroregeneration.This review focuses on examining the dual functions of microglia in glaucoma,evaluating their influence on retinal neurodegeneration and repair,and suggesting that modulating microglial activity could serve as a promising therapeutic strategy.Understanding the mechanisms of microglial action in glaucoma is crucial for unveiling the complex pathophysiological processes of the disease and developing new therapeutic strategies. 展开更多
关键词 GLAUCOMA INFLAMMATION MICROGLIA NEURODEGENERATION NEUROREGENERATION retinal ganglion cells
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Tear proteomics reveals biomarkers for visual field progression in normal-tension glaucoma
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作者 Le-Wei Tang Hui-Yan Mao +5 位作者 Mei-Min Lin Si Zhu Qiang-Jie Huang De-Fu Chen Wei-He Zhou Yuan-Bo Liang 《International Journal of Ophthalmology(English edition)》 2026年第1期1-10,共10页
AIM:To identify early biomarkers associated with glaucomatous visual field(VF)progression in patients with normal-tension glaucoma(NTG).METHODS:This study included patients were divided into two groups based on diseas... AIM:To identify early biomarkers associated with glaucomatous visual field(VF)progression in patients with normal-tension glaucoma(NTG).METHODS:This study included patients were divided into two groups based on disease progression status.Tear samples were collected for proteomic analysis.Dataindependent acquisition(DIA)mass spectrometry combined with bioinformatic analyses was performed to identify and validate potential protein biomarkers for NTG progression.Additionally,differentially expressed proteins(DEPs)were evaluated using mediating effect models and receiver operating characteristic(ROC)curve analysis.RESULTS:A total of 19 patients(20 eyes)with NTG participated in this study,including 10 patients(4 males and 6 females;10 eyes)in the progression group with mean age of 67.70±9.03y and 10 patients(4 males and 6 females;10 eyes)in the non-progression group with mean age of 68.60±7.58y.A total of 158 significantly differentially expressed proteins were detected.UniProt database annotation identified 3 upregulated proteins and 12 downregulated proteins.Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway analysis showed that these DEPs were mainly enriched in pathways such as oocyte meiosis.Gene Ontology(GO)enrichment analysis revealed functional clusters related to cellular processes.Weighted gene coexpression network analysis(WGCNA)indicated that the core proteins were primarily involved in the neurodegenerationmultiple diseases pathway and cellular processes.Mediating effect analysis identified PRDX4(L)as a potential protein biomarker.ROC curve analysis showed that GNAI1 had the largest area under the curve(AUC=0.889).CONCLUSION:This study identifies 15 differentially expressed proteins in the tear fluid of NTG patients,including PRDX4(L).PRDX4(L)plays a key role in oxidative stress. 展开更多
关键词 normal-tension glaucoma TEARS PROTEOMICS biomarkers visual field progression
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青光眼发病,遗传作祟还是后天养成
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作者 姜明玖 《漫科学》 2026年第1期28-29,共2页
“医生,我最近看东西总觉得有黑影,是不是老花眼了?”上周三上午,王阿姨一进诊室就焦急地问我。经过详细检查,我发现她的眼压已经高达28mmHg(正常范围为10~21mmHg),视野检查也显示典型的青光眼改变。当我告诉她诊断结果时,她一脸茫然:... “医生,我最近看东西总觉得有黑影,是不是老花眼了?”上周三上午,王阿姨一进诊室就焦急地问我。经过详细检查,我发现她的眼压已经高达28mmHg(正常范围为10~21mmHg),视野检查也显示典型的青光眼改变。当我告诉她诊断结果时,她一脸茫然:“青光眼?我从来没听说过啊!”这样的场景在门诊几乎每周都会上演。 展开更多
关键词 视野检查 眼压 后天养成 遗传 青光眼
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超声乳化白内障吸除术联合房角分离术在急性闭角型青光眼伴白内障患者中的应用价值分析
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作者 蒋益 《现代医学与健康研究电子杂志》 2026年第1期65-68,共4页
目的比较超声乳化白内障吸除术联合房角分离术对急性闭角型青光眼(AACG)伴白内障患者眼压、房角结构稳定性的影响,以期为优化手术策略提供参考。方法选取2023年1月至2024年12月泰兴市人民医院收治的AACG伴白内障患者100例(127眼),采用... 目的比较超声乳化白内障吸除术联合房角分离术对急性闭角型青光眼(AACG)伴白内障患者眼压、房角结构稳定性的影响,以期为优化手术策略提供参考。方法选取2023年1月至2024年12月泰兴市人民医院收治的AACG伴白内障患者100例(127眼),采用随机数字表法分为对照组(50例,65眼,行超声乳化白内障吸除术联合人工晶体植入术)和观察组(50例,62眼,在对照组治疗的基础上联合房角分离术)。两组患者均在术后随访3个月。观察比较两组患者术前、术后1周及3个月的眼压,术前与术后3个月房角开放程度、最佳矫正视力、前房深度,以及随访期间并发症发生情况和药物使用情况。结果与术前比,术后1周、3个月两组患者眼压均呈降低趋势,且观察组均低于对照组;与术前比,术后3个月两组患者房角Shaffer分级和最佳矫正视力均改善,前房深度均增加,且观察组变化幅度均大于对照组;随访期间,观察组患者使用降眼压药物种类少于对照组(均P<0.05);两组患者角膜水肿、高眼压发病率比较,差异均无统计学意义(均P>0.05)。结论超声乳化白内障吸除术联合房角分离术治疗AACG伴白内障术后短期内可降低患者眼压,扩大房角开放范围,增加前房深度,进而改善患者视力,减少术后药物依赖,且不会明显增加并发症发生风险。 展开更多
关键词 急性闭角型青光眼 白内障 房角分离术 超声乳化白内障吸除术 人工晶体植入术
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高压氧助力青光眼康复
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作者 陈茜茹 顾尤嘉 茅慧雯(指导) 《康复》 2026年第4期46-47,共2页
氧气是支撑生命之火的必需品。对于一些因为种种原因导致供血供氧不良的疾病,更充足的氧气往往能够有效改善症状。高压氧治疗作为一种无创的物理治疗方式,近年来在视神经康复领域展现出独特价值,尤其是在青光眼的辅助治疗中,为患者带来... 氧气是支撑生命之火的必需品。对于一些因为种种原因导致供血供氧不良的疾病,更充足的氧气往往能够有效改善症状。高压氧治疗作为一种无创的物理治疗方式,近年来在视神经康复领域展现出独特价值,尤其是在青光眼的辅助治疗中,为患者带来了新的康复希望。 展开更多
关键词 视神经 高压氧 供血供氧 康复 青光眼
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