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Does Continuous Wear of a Face Mask Affect Your Tear Film? 连续佩戴口罩会影响泪膜吗?
Q4 Medicine Pub Date : 2023-07-01 DOI: 10.18008/1816-5095-2023-2-298-302
S. Gunaganti, M. Koduri, S. Mereddy
Purpose. The continuous use of mask wear from pandemic induces instability in tear film due to the air blown up from the mask. The study’s objective was to assess the effect of type of mask wear and duration, including short-term wear of mask on TBUT. Design and methods. This was a cross-sectional, comparative study. A total of 90 (180 eyes) subjects (76 females) were involved in the study and were categorized into three groups, each comprising 30 subjects. Either the groups were given a surgical, cloth, or N95 masks to wear. Baseline TBUT was collected after 30 mins without mask wear; next TBUT was measured immediately after 1 min of mask wear and subsequently after every 30 mins for 3.5 hours among all the three groups. TBUT changes within the groups and between the groups were compared using Friedman ANOVA and the Kruskal Wallis test. Results. There was a significant decline in TBUT after 30 mins of mask wear only among surgical & cloth mask users and was stable in N95 wearers. There is no influence on TBUT for 1.5 hours among all the mask wearers. However, a subsequent continuous significant difference was evident from 2 hours among surgical and cloth mask users and at 3.5 hours within N95 users. N95 wearers have a higher TBUT, and surgical have the least TBUT. Conclusion. Surgical mask wears significantly influence tear film stability, followed by cloth mask wear because of air leak from nose wire. TBUT is minimally affected by N95 wear.
目的。由于大流行而持续佩戴的口罩,由于从口罩中吹出的空气,导致泪膜不稳定。该研究的目的是评估口罩佩戴类型和持续时间的影响,包括短期佩戴口罩对TBUT的影响。设计和方法。这是一项横断面比较研究。共有90(180只眼睛)受试者(76名女性)参与了这项研究,并被分为三组,每组30名受试者。每一组都佩戴了外科口罩、布口罩或N95口罩。不戴口罩30分钟后采集基线TBUT;接下来,三组在佩戴口罩1分钟后立即测量TBUT,随后每30分钟测量一次TBUT,持续3.5小时。使用Friedman ANOVA和Kruskal Wallis检验比较组内和组间的TBUT变化。结果。仅在外科患者中,戴口罩30分钟后TBUT显著下降;在N95佩戴者中稳定。所有佩戴口罩者对1.5小时TBUT无影响。然而,随后的持续显著差异在外科口罩和布口罩使用者中为2小时,在N95使用者中为3.5小时。N95型患者的TBUT较高,而外科患者的TBUT最低。结论。医用口罩佩戴对泪膜稳定性的影响显著,其次是布口罩佩戴对鼻丝漏气的影响。TBUT受N95磨损的影响最小。
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引用次数: 0
Surgical Rehabilitation of a Posttraumatic Iris Cyst, Cataract and Astigmatism Patient 一例外伤性虹膜囊肿、白内障及散光患者的手术康复
Q4 Medicine Pub Date : 2023-04-06 DOI: 10.18008/1816-5095-2023-1-180-184
A. L. Onishchenko, V. K. Potehin, N. A. Vershinina
Injuries cause serious disturbance of the form and function of the organ of vision due to the damage and accompanying or remote complications and therefore have a high proportion to the structure of low vision, blindness and disability. One of the complications of penetrating wounds of the eye is iris cysts. Iris cyst can increase and cause pupillary block, secondary glaucoma, uveitis, corneal dystrophy, and therefore it requires surgical intervention. The goal of surgical treatment of an iris cyst is to ensure complete removal of the cyst. Objective: to estimate the clinical and functional results of treatment in a posttraumatic iris cyst, posterior subcapsular cataract and myopic astigmatism patient. Patient and methods. Patient B., 49 years old with posttraumatic retention iris cyst, posterior subcapsular cataract, compound myopic high astigmatism was examined. To determine the tactics of surgical treatment of the patient, a complex of General ophthalmology was performed (visometry, IOP measurement, autorefractometry, biomicroscopy, ophthalmoscopy), as well as special (B-scanning, optical coherence tomography of the retina) research methods. The follow-up period was 1 year. Results and discussion. To improve visual functions and prevent the development of secondary glaucoma, the patient was offered surgery — excision of the iris cyst and cataract phacoemulsification with toric intraocular lens. Simultaneous carrying out of two stages of the operation reduced the risks of postoperative complications and shorten the rehabilitation period. Conclusion. Positive optical and therapeutic effects were achieved as a result of the surgical treatment 44 years after an open eye injury: the eye is calm, the iris cyst is not detected, visual acuity has increased. The postoperative period showed the saving the stable and high visual and functional result with no recurrence of the iris cyst.
损伤由于视觉器官的损伤及伴随或远端并发症而造成视觉器官形态和功能的严重紊乱,因此在低视力、失明和残疾的结构中所占比例很高。眼睛穿透伤的并发症之一是虹膜囊肿。虹膜囊肿可增大并引起瞳孔阻滞、继发性青光眼、葡萄膜炎、角膜营养不良等,因此需要手术干预。手术治疗虹膜囊肿的目的是确保囊肿的完全切除。目的:评价1例外伤性虹膜囊肿合并后囊下白内障合并近视散光患者的临床和功能效果。病人和方法。患者B, 49岁,外伤性虹膜囊肿潴留,后囊膜下白内障,复度性近视高度散光。为了确定患者的手术治疗策略,我们进行了综合眼科检查(粘度测量、IOP测量、自动屈光术、生物显微镜、眼科检查)以及特殊研究方法(b扫描、视网膜光学相干断层扫描)。随访1年。结果和讨论。为改善视力及预防继发性青光眼的发展,患者接受手术治疗-虹膜囊肿切除及环形人工晶状体白内障超声乳化术。两期手术同时进行,减少了术后并发症的发生,缩短了康复期。结论。开放性眼损伤44年后的手术治疗取得了积极的光学和治疗效果:眼睛平静,虹膜囊肿未被发现,视力有所提高。术后随访,虹膜囊肿恢复稳定,视力、功能均良好,无复发。
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Oftalmologiya
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