飞行员和非飞行员患者中心性浆液性视网膜病变的比较评估：中心性浆液性脉络膜视网膜病变（CSC）的回顾性研究。

IF 3.1 3区医学 Q2 ONCOLOGY

Photodiagnosis and Photodynamic Therapy Pub Date : 2024-10-18 DOI:10.1016/j.pdpdt.2024.104376

Yan-Yan Zhao, Hua Wang, Wei Chen, Quan Wang, Yong Liu

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引用次数: 0

摘要

背景：中心性浆液性脉络膜视网膜病变（CSC）是一种不符合飞行员资格的疾病，因为良好的视力对飞行员的工作非常重要。本研究旨在评估军事飞行员 CSC 的临床诊断、治疗和航空医学评估原则：分析了 2003 年 1 月至 2021 年 12 月期间空军医疗中心收治的 15 名患有 CSC 的飞行员的临床资料和航空医学评估，并报告了 3 个典型病例。对32名非飞行员的CSC患者进行了相关文献评估：结果：15 名飞行员的平均年龄为（37.47 ± 4.21）岁，均为男性。其中 14 人单眼患病（4 人右眼，10 人左眼），1 人双眼患病。两名飞行员不吸烟，也不饮酒；一名飞行员吸烟；四名飞行员经常饮酒；八名飞行员吸烟并经常饮酒。最佳矫正视力（BCVA）的平均值从初诊时的 0.83 ± 0.33 增加到终诊时的 0.95 ± 0.44。非试点组包括 32 名患者，其中 29 名男性，3 名女性，平均年龄（37.16 ± 10.02）岁。31名患者为单眼受累（右眼17人，左眼14人），1名患者双眼受累。17名患者不吸烟、不饮酒；2名患者吸烟；4名患者经常饮酒；9名患者吸烟并经常饮酒。BCVA 的平均值从首次就诊时的 0.64 ± 0.28 增加到最后就诊时的 0.90 ± 0.30。飞行员组患者的复发率较高，这与最终BCVA较低有关，并导致他们被取消飞行资格：结论：飞行员和非飞行员患者在 CSC 临床数据方面没有明显差异。慢性和复发性 CSC 可能是一种威胁视力的疾病，因此飞行员必须得到准确及时的诊断。

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Comparative evaluation of central serous retinopathy in pilots and non-pilot patients

Background

Central serous chorioretinopathy (CSC) is a disqualifying condition for pilots because of the importance of good vision to their jobs. The objective of this study was to evaluate the clinical diagnosis, treatment, and aviation medical assessment principles for CSC in military pilots.

Methods

The clinical data and aviation medical assessments of 15 pilots with CSC who were admitted to the Air Force Medical Center between January 2003 and December 2021 were analyzed, and three typical cases were reported. The relevant literature evaluation was conducted on 32 non-pilot patients with CSC.

Results

The mean age of the 15 pilots was 37.47 ± 4.21 years, and they were all male. Fourteen were affected in a single eye (4 in the right eye and 10 in the left eye), while one was affected in both eyes. Two pilots were nonsmokers and did not consume alcohol; one was a smoker; four pilots consumed alcohol on a regular basis; and eight pilots were smokers and consumed alcohol on a regular basis. The mean best-corrected visual acuity (BCVA) increased from 0.83 ± 0.33 at the initial visit to 0.95 ± 0.44 at the final visit. The non-pilot group included 32 patients, 29 of whom were male and 3 of whom were female, with a mean age of 37.16 ± 10.02 years. Thirty-one patients had single-eye involvement (17 of the right eye and 14 of the left eye), while one patient had involvement of both eyes. Seventeen patients were nonsmokers and did not consume alcohol; two were smokers; four consumed alcohol on a regular basis; and nine were smokers and consumed alcohol on a regular basis. The mean BCVA increased from 0.64 ± 0.28 at the first visit to 0.90 ± 0.30 at the final visit. Patients in the pilot group had a high recurrence rate, which was associated with a low final BCVA and led to their disqualification from flying.

Conclusion

Pilot and non-pilot patients did not differ significantly in terms of CSC clinical data. Chronic and recurrent CSC can be a vision-threatening disease; therefore, pilots must receive accurate and timely diagnosis.

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来源期刊

Photodiagnosis and Photodynamic Therapy ONCOLOGY-

CiteScore

5.80

自引率

24.20%

发文量

509

审稿时长

50 days

期刊介绍： Photodiagnosis and Photodynamic Therapy is an international journal for the dissemination of scientific knowledge and clinical developments of Photodiagnosis and Photodynamic Therapy in all medical specialties. The journal publishes original articles, review articles, case presentations, "how-to-do-it" articles, Letters to the Editor, short communications and relevant images with short descriptions. All submitted material is subject to a strict peer-review process.