青光眼和疑似青光眼患者的屈光手术:文献分析和临床建议。

IF 1.2 4区 医学 Q3 OPHTHALMOLOGY
Arquivos brasileiros de oftalmologia Pub Date : 2025-07-21 eCollection Date: 2025-01-01 DOI:10.5935/0004-2749.2024-0351
Sarah Mariz Veras Pinto Figueiredo, Olívia Moura de Paula Ricardo, Wilma Lelis Barbosa, Tiago Santos Prata
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引用次数: 0

摘要

近视是青光眼的重要危险因素,也是世界范围内日益严重的公共卫生问题。由于视神经头的异常外观,在高度近视的眼睛中检测青光眼的变化是具有诊断挑战性的。这些患者对压力性青光眼损伤也有更大的生物力学敏感性。屈光手术越来越受欢迎,许多屈光手术的候选者都是近视的。因此,我们试图回顾那些接受屈光手术的近视患者的评估方面,这些评估与青光眼的发现和监测有关。我们确定了屈光手术后青光眼患者评估的几个重要因素。其中包括术前和术后结构和功能评估的必要性,以及监测术后角膜生物力学变化及其对眼压的影响的重要性。我们的结论是,在接受屈光手术的近视患者中,无论眼压如何,评估青光眼的存在、确定分期和制定长期控制疾病的计划是至关重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Refractive surgery in glaucoma and suspected glaucoma patients: Critical analysis of the literature and clinical recommendations.

Myopia is a significant risk factor for glaucoma and a growing public health problem worldwide. Detecting glaucomatous changes in highly myopic eyes is diagnostically challenging due to the abnormal appearance of the optic nerve head. These patients also have a greater biomechanical susceptibility to pressure-induced glaucomatous damage. Refractive surgery has become increasingly popular, and many candidates for refractive surgery are myopic. Therefore, we sought to review the aspects of patient evaluation in those who have undergone refractive surgery for myopia concerned with the detection and monitoring of glaucoma development. We identified several important elements of patient evaluation for glaucoma after refractive surgery. These included the need for both structural and functional assessments before and after surgery, and the importance of monitoring for postoperative biomechanical changes in the cornea and their impact on intraocular pressure. We conclude that, in patients who undergo refractive surgery for myopia, it is essential to assess for the presence of glaucoma, to identify staging, and to plan for long-term control of the disease, regardless of IOP.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
期刊介绍: The ABO-ARQUIVOS BRASILEIROS DE OFTALMOLOGIA (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - electronic version), the official bimonthly publication of the Brazilian Council of Ophthalmology (CBO), aims to disseminate scientific studies in Ophthalmology, Visual Science and Health public, by promoting research, improvement and updating of professionals related to the field.
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