肿瘤护理中的眼科康复。

IF 3.3 4区 医学 Q1 OPHTHALMOLOGY
Tomas Teixeira-Pinto, Roque Lima de Souza, Daniel Grossi Marconi, Leonardo Lando
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引用次数: 0

摘要

眼科康复是指采用多学科方法,恢复、最大限度地提高和保护受癌症或其治疗方法的眼部表现影响的患者的视觉功能和生活质量。除了低视力治疗方法外,眼科康复还包括一系列重建干预措施,以减轻可能与视力障碍相互作用的解剖缺陷。各种肿瘤疾病都可能导致眼部残疾,包括原发性眼内肿瘤、继发性转移或化疗、放疗和手术等全身治疗的不良反应。眼科康复的方法在不断发展,包括验配光学辅助设备和适应性技术以提高剩余视力,以及提供支持性训练和咨询以解决社会心理影响。虽然有关低视力的研究主要涉及遗传性和退行性眼病的康复问题,但癌症背景下的眼科康复却具有特殊性,而这些特殊性在眼科学和肿瘤学的文献中却鲜有涉及。本综述旨在根据低视力管理、眼部肿瘤治疗、眼眶重建手术和视觉疗法的发展趋势,修订已发表的评估和管理因癌症而导致眼部衰弱的后遗症患者的基本原理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ophthalmic rehabilitation in oncology care.

Ophthalmic rehabilitation refers to the multidisciplinary approach to restoring, maximizing, and preserving the visual function and quality of life for patients affected by ocular manifestations of cancer or its treatments. Besides its approach to low vision, ophthalmic rehabilitation also encompasses a series of reconstructive interventions to mitigate anatomic deficits that may interplay with visual impairment. A gamut of oncologic conditions may result in ocular disabilities, including primary intraocular tumours, secondary metastases, or adverse effects of systemic therapies such as chemotherapy, radiation, and surgery. Methods of ophthalmic rehabilitation are evolving constantly and involve the prescription of optical aids and adaptive technologies to enhance remaining vision, as well as supportive training and counselling to address psychosocial effects. Although studies in low vision have mostly covered aspects of rehabilitation in inherited and degenerative eye conditions, ophthalmic rehabilitation within the context of cancer carries specificities that have been poorly explored in the literature on ophthalmology and oncology. This review aims to build on the trends of low vision management, ocular oncology treatments, orbital reconstructive surgery, and visual therapy to revise the published rationale behind evaluating and managing patients facing debilitating ocular sequelae as the result of cancer.

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来源期刊
CiteScore
3.20
自引率
4.80%
发文量
223
审稿时长
38 days
期刊介绍: Official journal of the Canadian Ophthalmological Society. The Canadian Journal of Ophthalmology (CJO) is the official journal of the Canadian Ophthalmological Society and is committed to timely publication of original, peer-reviewed ophthalmology and vision science articles.
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