Objective: Present a new screening approach for ocular diseases. Method: Transversal, retrospective, single center study that analyzed medical records of patients from a social project on the prevention of blindness a...Objective: Present a new screening approach for ocular diseases. Method: Transversal, retrospective, single center study that analyzed medical records of patients from a social project on the prevention of blindness and amblyopia, which aimed at: 1) Detect the main ocular disorders such as amblyopia, primary angle-closure suspect (PACS);glaucoma suspect (GS);predisposing retinal detachment lesions (PRDL);age-related macular degeneration (AMD), and diabetic retinopathy (DR);2) Perform cataract diagnosis;3) Provide guidance and treatment for allergic conjunctivitis. 4) Prescribe glasses for children until 14 years of age. Participants were examined by a single specialist, holder of a post-doctoral degree in ophthalmology, with 36 years of experience and a sub-specialization in retina and vitreous. All data were analyzed in 2022. Results: The examiner diagnosed 42 cases of PACS, 21 of GS, 8 of PRDL, 14 of AMD, 3 of DR, 40 of cataract and 31 cases of allergic conjunctivitis. Thirty-three participants younger than 14 were prescribed glasses. Other pathologies included retinal detachment, papilledema, corneal ulcer, suspected conjunctival squamous cell carcinoma, retinal vasculitis, strabismus, uveitis, bilateral papilla paleness and lacrimal duct obstruction. Out of the 297 cases examined, 168 participants presented some type of alteration that could compromise their vision. Conclusion: The examiner’s experience and knowledge were decisive factors for the quick diagnosis, advice, screening and/or treatment of several ocular diseases. The social project results reveal that the primary care and/or the screening performed by a specialist are likely to reduce blindness cases.展开更多
目的探讨眼科全身麻醉(以下简称全麻)手术患者术后麻醉恢复室(post-anesthesia care unit,PACU)停留期间发生眼痛的影响因素。方法选取2024年9月至2025年5月首都医科大学附属北京同仁医院眼科全麻手术患者908例。收集患者一般资料和临...目的探讨眼科全身麻醉(以下简称全麻)手术患者术后麻醉恢复室(post-anesthesia care unit,PACU)停留期间发生眼痛的影响因素。方法选取2024年9月至2025年5月首都医科大学附属北京同仁医院眼科全麻手术患者908例。收集患者一般资料和临床资料,采用数字分级评分法(numerical rating scale,NRS)评估眼痛程度,根据NRS评分将患者分为无和轻度眼痛组(NRS评分0~3分)与中重度眼痛组(NRS评分>3~10分),采用多因素非条件logistic回归方程分析患者PACU期间中重度眼痛的影响因素。结果908例患者中男474例、女434例,年龄18~80岁,平均(51.7±13.6)岁。术后PACU眼痛发生率为58.92%(535/908),其中中重度眼痛发生率为9.91%(90/908)。两组患者性别、手术时间、二次手术、眼科手术术式、PACU停留时间及SBP、DBP、MAP、HR、SpO_(2)的比较,差异均无统计学意义(P>0.05)。多因素回归分析结果显示,年龄越大(OR=0.961,95%CI:0.938~0.983,P=0.001)、伴有高血压(OR=0.349,95%CI:0.173~0.705,P=0.003)或糖尿病(OR=0.468,95%CI:0.243~0.900,P=0.023)的患者,术后发生中重度眼痛的风险较低。结论眼科全麻手术患者PACU停留期间的眼痛发生率和中重度眼痛发生率均较高。年龄、高血压和糖尿病是PACU停留期间发生中重度眼痛的影响因素。围术期应加强对年轻患者的预防性眼痛评估与多模式镇痛管理,以降低术后中重度眼痛的发生风险。展开更多
文摘Objective: Present a new screening approach for ocular diseases. Method: Transversal, retrospective, single center study that analyzed medical records of patients from a social project on the prevention of blindness and amblyopia, which aimed at: 1) Detect the main ocular disorders such as amblyopia, primary angle-closure suspect (PACS);glaucoma suspect (GS);predisposing retinal detachment lesions (PRDL);age-related macular degeneration (AMD), and diabetic retinopathy (DR);2) Perform cataract diagnosis;3) Provide guidance and treatment for allergic conjunctivitis. 4) Prescribe glasses for children until 14 years of age. Participants were examined by a single specialist, holder of a post-doctoral degree in ophthalmology, with 36 years of experience and a sub-specialization in retina and vitreous. All data were analyzed in 2022. Results: The examiner diagnosed 42 cases of PACS, 21 of GS, 8 of PRDL, 14 of AMD, 3 of DR, 40 of cataract and 31 cases of allergic conjunctivitis. Thirty-three participants younger than 14 were prescribed glasses. Other pathologies included retinal detachment, papilledema, corneal ulcer, suspected conjunctival squamous cell carcinoma, retinal vasculitis, strabismus, uveitis, bilateral papilla paleness and lacrimal duct obstruction. Out of the 297 cases examined, 168 participants presented some type of alteration that could compromise their vision. Conclusion: The examiner’s experience and knowledge were decisive factors for the quick diagnosis, advice, screening and/or treatment of several ocular diseases. The social project results reveal that the primary care and/or the screening performed by a specialist are likely to reduce blindness cases.
文摘目的探讨眼科全身麻醉(以下简称全麻)手术患者术后麻醉恢复室(post-anesthesia care unit,PACU)停留期间发生眼痛的影响因素。方法选取2024年9月至2025年5月首都医科大学附属北京同仁医院眼科全麻手术患者908例。收集患者一般资料和临床资料,采用数字分级评分法(numerical rating scale,NRS)评估眼痛程度,根据NRS评分将患者分为无和轻度眼痛组(NRS评分0~3分)与中重度眼痛组(NRS评分>3~10分),采用多因素非条件logistic回归方程分析患者PACU期间中重度眼痛的影响因素。结果908例患者中男474例、女434例,年龄18~80岁,平均(51.7±13.6)岁。术后PACU眼痛发生率为58.92%(535/908),其中中重度眼痛发生率为9.91%(90/908)。两组患者性别、手术时间、二次手术、眼科手术术式、PACU停留时间及SBP、DBP、MAP、HR、SpO_(2)的比较,差异均无统计学意义(P>0.05)。多因素回归分析结果显示,年龄越大(OR=0.961,95%CI:0.938~0.983,P=0.001)、伴有高血压(OR=0.349,95%CI:0.173~0.705,P=0.003)或糖尿病(OR=0.468,95%CI:0.243~0.900,P=0.023)的患者,术后发生中重度眼痛的风险较低。结论眼科全麻手术患者PACU停留期间的眼痛发生率和中重度眼痛发生率均较高。年龄、高血压和糖尿病是PACU停留期间发生中重度眼痛的影响因素。围术期应加强对年轻患者的预防性眼痛评估与多模式镇痛管理,以降低术后中重度眼痛的发生风险。
