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The effect of COVID-19 on visual outcome and dry eye after SMILE COVID-19对SMILE术后视力及干眼的影响
Pub Date : 2025-01-02 DOI: 10.1016/j.aopr.2025.01.001
Zhi Fang , Yan Li , Dejuan Song, Xiaoying He, Kai Zhang, Tiepei Zhu, Wei Han

Purposes

To evaluate the impact of coronavirus disease 2019 (COVID-19) on postoperative visual acuity, optical quality, and severity of dry eye disease in patients after small incision lenticule extraction (SMILE).

Methods

This is a retrospective, comparative study. Patients who underwent SMILE were included and divided into two groups according to the period at the eye center of the Second Affiliated Hospital of Zhejiang University. The first group included patients who underwent SMILE before the large-scale COVID-19 pandemic in China (Group 1). The second group comprised patients who underwent SMILE during the pandemic with a confirmed infection of COVID-19 (Group 2). The visual acuity, the severity of dry eye, ocular surface disease index (OSDI), oculus keratography analysis, and individual Zernike coefficients were evaluated and compared between the 2 groups.

Results

A total of 43 eyes of 23 patients and 45 eyes of 26 patients were included in Groups 1 and 2, respectively. The OSDI score in Group 2 was significantly higher than Group 1 (P ​< ​0.01). The corrected distance visual acuity (CDVA, logMAR) at 3 months postoperatively in Group 1 was better than in Group 2 (P ​< ​0.001). Despite the improvement over 1 month after the COVID-19 infection, the OSDI score was still higher in Group 2 than in Group 1 (P ​< ​0.01). The bulbar and limbal redness were significantly higher in Group 2 than in Group 1 ​at both 1 month and 3 months (P ​< ​0.05), while no significant differences were found in tear breakup time or tear meniscus height. Spherical aberration (SA) at the 4 ​mm zone was significantly higher in Group 2 than in Group 1 both at 1 month and 3 months (P ​< ​0.001), while no significant changes were observed in corneal total higher-order aberrations. No significant correlation was found between the bulbar/limbal redness index and SA.

Conclusions

COVID-19 infection impaired visual outcomes and aggravated dry eye severity among postoperative SMILE patients.
目的 评价冠状病毒病2019(COVID-19)对小切口皮瓣摘除术(SMILE)患者术后视力、光学质量和干眼症严重程度的影响。研究纳入了在浙江大学附属第二医院眼科中心接受小切口人工晶体植入术(SMILE)的患者,并按时间分为两组。第一组包括在中国 COVID-19 大规模流行之前接受 SMILE 的患者(第一组)。第二组包括在大流行期间确诊感染 COVID-19 并接受 SMILE 的患者(第二组)。对两组患者的视力、干眼症严重程度、眼表疾病指数(OSDI)、眼球角膜造影分析和单个 Zernike 系数进行评估和比较。第 2 组的 OSDI 评分明显高于第 1 组(P < 0.01)。术后 3 个月时,第 1 组的矫正远视力(CDVA,logMAR)优于第 2 组(P < 0.001)。尽管 COVID-19 感染后 1 个月内视力有所改善,但第 2 组的 OSDI 评分仍高于第 1 组(P < 0.01)。在 1 个月和 3 个月时,第 2 组的眼球和角膜缘发红程度明显高于第 1 组(P < 0.05),而泪液破裂时间和泪液半月板高度则无明显差异。在 1 个月和 3 个月时,第 2 组 4 毫米区域的球差(SA)明显高于第 1 组(P < 0.001),而角膜总高阶像差没有明显变化。结论COVID-19感染损害了SMILE术后患者的视觉效果,并加重了干眼症的严重程度。
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引用次数: 0
Performance of popular large language models in glaucoma patient education: A randomized controlled study 流行的大型语言模型在青光眼患者教育中的表现:一项随机对照研究
Pub Date : 2024-12-03 DOI: 10.1016/j.aopr.2024.12.002
Yuyu Cao , Wei Lu , Runhan Shi , Fuying Liu , Steven Liu , Xinwei Xu , Jin Yang , Guangyu Rong , Changchang Xin , Xujiao Zhou , Xinghuai Sun , Jiaxu Hong

Purpose

The advent of chatbots based on large language models (LLMs), such as ChatGPT, has significantly transformed knowledge acquisition. However, the application of LLMs in glaucoma patient education remains elusive. In this study, we comprehensively compared the performance of four common LLMs – Qwen, Baichuan 2, ChatGPT-4.0, and PaLM 2 – in the context of glaucoma patient education.

Methods

Initially, senior ophthalmologists were asked with scoring responses generated by the LLMs, which were answers to the most frequent glaucoma-related questions posed by patients. The Chinese Readability Platform was employed to assess the recommended reading age and reading difficulty score of the four LLMs. Subsequently, optimized models were filtered, and 29 glaucoma patients participated in posing questions to the chatbots and scoring the answers within a real-world clinical setting. Attending ophthalmologists were also required to score the answers across five dimensions: correctness, completeness, readability, helpfulness, and safety. Patients, on the other hand, scored the answers based on three dimensions: satisfaction, readability, and helpfulness.

Results

In the first stage, Baichuan 2 and ChatGPT-4.0 outperformed the other two models, though ChatGPT-4.0 had higher recommended reading age and reading difficulty scores. In the second stage, both Baichuan 2 and ChatGPT-4.0 demonstrated exceptional performance among patients and ophthalmologists, with no statistically significant differences observed.

Conclusions

Our research identifies Baichuan 2 and ChatGPT-4.0 as prominent LLMs, offering viable options for glaucoma education.
基于大型语言模型(llm)的聊天机器人的出现,如ChatGPT,极大地改变了知识获取。然而,法学硕士在青光眼患者教育中的应用仍然难以捉摸。在本研究中,我们综合比较了四种常见的llm - Qwen,百川2,ChatGPT-4.0和PaLM 2 -在青光眼患者教育背景下的表现。方法最初,资深眼科医生接受了由LLMs生成的评分回答,这些回答是患者提出的最常见的青光眼相关问题的答案。采用中文可读性平台评估4位法学硕士的推荐阅读年龄和阅读难度得分。随后,优化的模型被过滤,29名青光眼患者参与向聊天机器人提出问题,并在现实世界的临床环境中对答案进行评分。主治眼科医生还被要求从五个方面对答案进行评分:正确性、完整性、可读性、有用性和安全性。另一方面,患者则根据满意度、可读性和帮助度这三个维度来打分。结果在第一阶段,“白川2”和“ChatGPT-4.0”表现优于其他两种模型,但“ChatGPT-4.0”的推荐阅读年龄和阅读难度得分更高。在第二阶段,白川2号和ChatGPT-4.0在患者和眼科医生中表现优异,差异无统计学意义。结论我们的研究认为,白川2号和ChatGPT-4.0是青光眼教育的优秀法学硕士,为青光眼教育提供了可行的选择。
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引用次数: 0
Nano-based drug delivery systems for the treatment of non-infectious uveitis 治疗非感染性葡萄膜炎的纳米给药系统
Pub Date : 2024-11-12 DOI: 10.1016/j.aopr.2024.11.003
Xingdi Wu , Mengyuan Hu , Yilu Cai , Fan Jia , Yang Ye , Naiji Yu , Min Chen , Kaijun Wang

Background

Uveitis is one of the most prevalent causes of global visual impairment. The current approaches to treating non-infectious uveitis (NIU) involve the utilization of corticosteroids, immunosuppressant and biologics agents. Nevertheless, the intricate ocular anatomy barriers and adverse side effects of the drugs pose significant obstacles to effective treatment outcomes.

Main text

To improve drug bioavailability and therapeutic outcomes for NIU while minimize side effects, researchers are committed to developing novel nano-based drug delivery systems (DDS), which have the capacity to achieve targeted delivery, increase bioavailability, achieve sustained release, reduce side effects and improve therapeutic effects. Thus, DDS based on nanotechnology, including liposome, dendrimer, hydrogels, nanoparticles, nanomicelles, nanosuspensions and nanoemulsions have emerged as promising alternatives to conventional ocular delivery methods for the management of NIU.

Conclusions

In this review, we summarize the current therapeutic challenges faced by NIU and describe various nano-based intraocular DDS involved in the treatment of NIU. It is concluded that nano-based DDS is an appealing approach to addressing the unmet needs for the treatment of NIU.
背景:视网膜炎是全球视力损害最常见的原因之一。目前治疗非感染性葡萄膜炎(NIU)的方法包括使用皮质类固醇、免疫抑制剂和生物制剂。然而,复杂的眼解剖屏障和药物的不良副作用对有效的治疗结果构成了重大障碍。为了提高牛牛的药物生物利用度和治疗效果,同时最大限度地减少副作用,研究人员致力于开发新型纳米给药系统(DDS),以实现靶向给药、提高生物利用度、实现缓释、减少副作用和改善治疗效果。因此,基于纳米技术的DDS,包括脂质体、树状聚合物、水凝胶、纳米颗粒、纳米胶束、纳米悬浮液和纳米乳液,已经成为传统眼部给药方法的有希望的替代方案。结论本文综述了目前治疗牛眼所面临的挑战,并介绍了各种纳米基眼内DDS治疗牛眼所涉及的问题。综上所述,纳米基DDS是解决牛牛治疗需求的一种有吸引力的方法。
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引用次数: 0
The burden of refraction disorders in 204 countries and territories from 1990 to 2021: A systematic analysis from the global burden of disease 2021 1990年至2021年204个国家和地区的屈光障碍负担:来自《2021年全球疾病负担》的系统分析
Pub Date : 2024-11-06 DOI: 10.1016/j.aopr.2024.11.001
Yunhan Shen , Linyan Wang , Yuxin Cui , Bangxun Mao , Grace Loy Ming Hooi , Oluwatobi Idowu , Juan Ye , Tiansheng Zhu

Background

Refraction disorders are common eye conditions that cause blurred vision and, if left uncorrected, remain a leading cause of moderate to severe visual impairment worldwide. Despite this, a comprehensive assessment of the associated burden is lacking. This study aims to describe and predict the burden and regional distribution of refraction disorders using data from the 2021 Global Burden of Disease (GBD) study.

Methods

This study utilized data from the Global Burden of Disease (GBD) 2021 on refraction disorders from 1990 to 2021. We analyzed the prevalence and disability-adjusted life years (DALYs) of refraction disorders and calculated the corresponding average annual percentage changes (AAPCs) in different gender and age groups across 204 countries and territories and 21 geographical regions. We employed the Bayesian Age-Period-Cohort (BAPC) model to predict the future burden of refraction disorders.

Results

From 1990 to 2021, the global age-standardized prevalence rate (ASPR) of refraction disorders decreased from 2053.56 (per 100000, 95% Uncertainty Interval [UI]: 1835.31 to 2275.80) to 1919.66 (per 100000, 95%UI: 1715.24 to 2135.28), with an average annual percentage change (AAPC) of −0.21% (95% Confidence Interval [CI]: −0.23% to −0.19%). The age-standardized DALY (Disability-Adjusted Life Years) rate also declined from 88.04 (per 100000, 95%UI: 62.19 to 125.15) to 79.11 (per 100000, 95%UI: 54.94 to 114.14) with an AAPC of −0.33% (95%CI: −0.36% to −0.31%). Refraction disorders remain a significant burden in regions with lower Socio-demographic Index (SDI), particularly in parts of South Asia and Western Sub-Saharan Africa. Older individuals and females are disproportionately affected. The age-standardized DALY rate is expected to decline steadily before stabilising at approximately 77.94 per 100000 by 2030.

Conclusions

From 1990 to 2021, the disease burden of refraction disorders showed a declining trend, but the decrease was not substantial. In some low-middle SDI regions, the burden remains high. Moreover, globally, women bear a higher burden than men. This study provides important information for the treatment and prevention of refraction disorders.
屈光障碍是导致视力模糊的常见眼病,如果不加以纠正,仍然是世界范围内中度至重度视力障碍的主要原因。尽管如此,缺乏对相关负担的全面评估。本研究旨在利用2021年全球疾病负担(GBD)研究的数据描述和预测屈光障碍的负担和区域分布。方法本研究利用了全球疾病负担(GBD) 2021年1990年至2021年关于屈光障碍的数据。我们分析了204个国家和地区和21个地理区域中不同性别和年龄组的屈光障碍患病率和残疾调整生命年(DALYs),并计算了相应的平均年百分比变化(AAPCs)。我们采用贝叶斯年龄-时期-队列(BAPC)模型来预测未来屈光障碍的负担。结果1990 - 2021年,全球屈光障碍年龄标准化患病率(ASPR)从2053.56(每10万人,95%不确定区间[UI]: 1835.31 ~ 2275.80)下降至1919.66(每10万人,95%UI: 1715.24 ~ 2135.28),年均百分比变化(AAPC)为- 0.21%(95%可信区间[CI]: - 0.23% ~ - 0.19%)。年龄标准化的DALY(残疾调整生命年)率也从88.04(每10万人,95%UI: 62.19至125.15)下降到79.11(每10万人,95%UI: 54.94至114.14),AAPC为- 0.33% (95%CI: - 0.36%至- 0.31%)。屈光障碍在社会人口指数(SDI)较低的区域,特别是在南亚和撒哈拉以南非洲西部的部分地区,仍然是一个重大负担。老年人和女性受到的影响尤为严重。年龄标准化的DALY比率预计将稳步下降,到2030年稳定在每10万人约77.94人。结论1990 - 2021年屈光障碍疾病负担呈下降趋势,但下降幅度不大。在一些中低SDI地区,负担仍然很高。此外,在全球范围内,妇女承担的负担高于男子。本研究为屈光障碍的治疗和预防提供了重要信息。
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引用次数: 0
TOC TOC
Pub Date : 2024-11-01 DOI: 10.1016/S2667-3762(24)00066-0
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引用次数: 0
Global incidence and prevalence in uveal melanoma 葡萄膜黑色素瘤的全球发病率和流行率
Pub Date : 2024-11-01 DOI: 10.1016/j.aopr.2024.10.001
Xincen Hou , Alexander C. Rokohl , Xueting Li , Yongwei Guo , Xiaojun Ju , Wanlin Fan , Ludwig M. Heindl

Purpose

The most common intraocular cancer in adults is uveal melanoma (UM). This study aimed to investigate and report the incidence and prognosis of UM in different regions of the world.

Methods

We retrieved relevant data on UM from the PubMed database and analyzed its global incidence and prognosis. All data was obtained from a national population-based registry, with publication dates ranging from 2013 to 2023.

Results

The incidence rates of UM vary across different regions: in the United States, rates were 5.1 per million (1993–2008) and 5.2 per million (1973–2013); in Canada, rates ranged from 3.34 per million (1992–2010) to 5.09 per million (2011–2017); in Republic of Korea, the rate was 0.42 per million (1999–2011); in New Zealand, it was 5.56 per million (2000–2020); in Australia, it was 7.6 per million (1982–2014); and in Europe, rates ranged from 3.1 to 5.8 per million (1995–2002). Among European countries, Sweden (5.6 per million (1960–2009)), Germany (6.41 per million (2009–2015)), Poland (6.67 per million (2010–2017)), and the United Kingdom (10 per million (1999–2010)).

Conclusions

The most common site of occurrence for UM is in the choroid. Limited data suggest a stable trend in UM incidence rates across the included countries, but significant differences in incidence rates exist among different countries and regions, with notably lower rates in Asian countries compared to Europe, North America, and Oceania. In general, the incidence rate in males is slightly higher compared to that in females.
目的成人最常见的眼内癌是葡萄膜黑色素瘤(UM)。本研究旨在调查和报告全球不同地区葡萄膜黑色素瘤的发病率和预后情况。方法我们从PubMed数据库中检索了葡萄膜黑色素瘤的相关数据,并分析了其全球发病率和预后情况。所有数据均来自国家人口登记处,发表日期为 2013 年至 2023 年。结果不同地区的 UM 发病率各不相同:在美国,发病率为 5.1‰(1993-2008 年)和 5.2‰(1973-2013 年);在加拿大,发病率从 3.34‰(1992-2010 年)到 5.2‰(1973-2013 年)不等。34 per million(1992-2010 年)到 5.09 per million(2011-2017 年)不等;在大韩民国,该比率为 0.42 per million(1999-2011 年);在新西兰,该比率为 5.56 per million(2000-2020 年);在澳大利亚,该比率为 7.6 per million(1982-2014 年);在欧洲,该比率为 3.1 per million 到 5.8 per million(1995-2002 年)不等。在欧洲国家中,瑞典(每百万人中有5.6人(1960-2009年))、德国(每百万人中有6.41人(2009-2015年))、波兰(每百万人中有6.67人(2010-2017年))和英国(每百万人中有10人(1999-2010年))。有限的数据表明,UM发病率在所包括的国家中呈稳定趋势,但不同国家和地区的发病率存在显著差异,与欧洲、北美和大洋洲相比,亚洲国家的发病率明显较低。一般来说,男性的发病率略高于女性。
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引用次数: 0
Clinical outcome of sequential bilateral pediatric penetrating keratoplasty (PKP) in patients with corneal dystrophies in South India 南印度角膜营养不良患者连续双侧小儿穿透性角膜移植术(PKP)的临床效果
Pub Date : 2024-09-27 DOI: 10.1016/j.aopr.2024.09.003
Rekha Gyanchand, B. Mamatha, Salma Mohd Iqbal Tabani, Rajan Sharma, Ashok Sharma
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引用次数: 0
An updated systematic review of pharmacological treatments for presbyopia 老花眼药物治疗的最新系统回顾
Pub Date : 2024-09-03 DOI: 10.1016/j.aopr.2024.09.001
Andrzej Grzybowski , Laura Kapitanovaite , Reda Zemaitiene

Background

Presbyopia, a common age-related condition affecting near vision, impacts over a billion people worldwide. The aim of this paper is to review the main reports and results of clinical trials, comparing the newest pharmacological treatment options for presbyopia, their mechanisms of action, and possible side effects.

Main text

Pharmacological approaches, involving eye drops that target the underlying mechanisms of presbyopia, have gained growing interest. Two key pharmacological agents in this field are miotics and lens softeners. Miotics enhance near vision temporarily by creating a pinhole effect, though they may cause side effects and are under further investigation for long-term use with ongoing research also exploring the potential benefits of combining them with other drugs to improve outcomes and reduce adverse reactions. Lens softeners, on the other hand, aim to restore the flexibility of the lens, addressing one of the primary causes of presbyopia. Despite early trials, further development of lens softeners has been suspended. A notable advancement in this field is the recent FDA approval of 1.25% and 0.4% pilocarpine, a miotic agent, for presbyopia treatment. This milestone highlights the growing interest in pharmacological solutions for presbyopia, with several new drugs and their combinations currently being investigated for potential FDA approval.

Conclusions

pharmacological treatments, particularly miotics like pilocarpine, represent a promising alternative to conventional methods for managing presbyopia. Continued research into these treatments, especially combinations of drugs, may offer more effective and convenient options for presbyopia patients in the future.
背景老花眼是一种常见的与年龄有关的影响近视力的疾病,影响着全球十多亿人。本文旨在回顾临床试验的主要报告和结果,比较治疗老花眼的最新药理疗法、其作用机制以及可能的副作用。该领域的两种主要药理制剂是抗生素和晶状体软化剂。咪唑类药物通过产生针孔效应暂时提高近视度数,但可能会产生副作用,目前正在对其长期使用进行进一步研究,同时还在探索将其与其他药物联合使用的潜在益处,以提高疗效并减少不良反应。另一方面,晶状体软化剂旨在恢复晶状体的柔韧性,解决老花眼的主要原因之一。尽管进行了早期试验,但晶状体软化剂的进一步开发已经暂停。最近,美国食品及药物管理局批准将 1.25% 和 0.4% 匹罗卡品(一种瞳孔缩小剂)用于老花眼治疗,这是该领域的一个显著进步。这一里程碑凸显了人们对药物治疗老花眼的兴趣与日俱增,目前正在研究几种新药及其复方制剂,以获得美国食品及药物管理局的批准。继续研究这些治疗方法,尤其是药物组合,可能会在未来为老花眼患者提供更有效、更方便的选择。
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引用次数: 0
Global research trends in the treatment of squamous cell carcinoma over the past decade: A bibliometric analysis 过去十年鳞状细胞癌治疗的全球研究趋势:文献计量分析
Pub Date : 2024-08-22 DOI: 10.1016/j.aopr.2024.08.001
Xueting Li , Alexander C. Rokohl , Xiaojun Ju , Yongwei Guo , Xincen Hou , Wanlin Fan , Ludwig M. Heindl

Objective

This study aims to identify research trends and hot spots in the treatment of Squamous Cell Carcinoma (SCC) over the past decade using bibliometric analysis.

Methods

Data were extracted from the Web of Science Core Collection, including Science Citation Index Expanded (SCI-Expanded), Social Sciences Citation Index (SSCI), and Emerging Sources Citation Index (ESCI). The data underwent manual cleaning to remove inaccuracies and irrelevancies, followed by transformation into an analyzable format via the VOSviewer software. This tool facilitated the visualization of co-occurrence networks and keyword maps, highlighting the relationships and the prominence of research themes.

Results

A total of 46448 authors from 7374 institutions across 108 countries contributed to the literature, reflecting a broad international effort. The study documented a consistent increase in SCC-related publications up to 2020, with some variability in subsequent years. Notably, the United States, Germany, China, the United Kingdom, and France were predominant in this research area. The University of Texas MD Anderson Cancer Center and the University of Pittsburgh were leading contributors in terms of publication volume and citation impact. Key journals included ‘Oral Oncology’ and ‘Clinical Cancer Research’, which were central to the dissemination of high-impact research. Our keyword analysis identified three major research clusters focused on molecular mechanisms, clinical treatment strategies, and emerging interests in immunotherapeutic approaches.

Conclusions

The extensive collaboration and the increasing publication trend underscore the growing global commitment to advancing SCC treatment. The high level of engagement from top institutions and the concentration of research in influential journals reflect the field's dynamic evolution towards innovative and effective treatment modalities. This study provides a valuable overview for researchers, guiding future studies towards areas of high impact and emerging trends in SCC treatment. The findings advocate for enhanced focus on personalized medicine and combination therapies, which are poised to improve outcomes for SCC patients.
本研究旨在利用文献计量学分析方法确定过去十年中治疗鳞状细胞癌(SCC)的研究趋势和热点。方法数据来自科学网核心文献集,包括科学引文索引扩展版(SCI-Expanded)、社会科学引文索引(SSCI)和新兴来源引文索引(ESCI)。数据经过人工清理,以去除不准确和不相关的内容,然后通过 VOSviewer 软件转换成可分析的格式。结果共有来自 108 个国家 7374 个机构的 46448 位作者提供了文献,反映了广泛的国际努力。研究结果表明,截至 2020 年,与 SCC 相关的出版物持续增加,但随后几年有所变化。值得注意的是,美国、德国、中国、英国和法国在这一研究领域占主导地位。得克萨斯大学 MD 安德森癌症中心和匹兹堡大学在论文数量和引用影响方面居于领先地位。主要期刊包括 "口腔肿瘤学 "和 "临床癌症研究",它们是传播高影响力研究成果的核心期刊。我们的关键词分析确定了三大研究集群,分别侧重于分子机制、临床治疗策略和免疫治疗方法方面的新兴趣。顶级研究机构的高度参与和有影响力期刊上的集中研究反映了该领域正朝着创新和有效的治疗模式不断发展。本研究为研究人员提供了一个宝贵的概览,为今后针对SCC治疗的高影响力领域和新兴趋势开展研究提供了指导。研究结果主张加强对个性化医学和综合疗法的关注,因为这些疗法有望改善 SCC 患者的治疗效果。
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引用次数: 0
Understanding parental hurdles in accessing strabismus treatment 了解家长在接受斜视治疗时遇到的障碍
Pub Date : 2024-08-19 DOI: 10.1016/j.aopr.2024.08.004
Omna Chawla , Anupam Singh , Himani Pal , Sanjeev Kumar Mittal , Srishti Sharma , Mittali Khurana , Pooja Kumari , Barun Kumar

Purpose

To explore the parental factors that impede early intervention for strabismus and thus identify strategies for improving access to specialized care.

Methods

This hospital-based cross-sectional study included 110 parents of children under 19 years with strabismus receiving treatment at the squint clinic of a tertiary health care center in north India. A pre-validated survey questionnaire was administered to the participants, that had a section about the socio-demographics of the participants, another section addressed the parental knowledge about strabismus about diagnosis, and the need for an eye examination. It also sought information about referral source, the felt need for squint examination, and reasons for not seeking treatment.

Results

A total of 110 parents/guardians of strabismus patients (59 exotropes and 51 esotropes) were interviewed using a survey questionnaire. Parents themselves identified 80% of cases, and a substantial link (P ​< ​0.0001) was found between the education status of parents and the age of identification of strabismus. Fear of surgical outcomes (41.79%) was a significant barrier to timely surgery with a higher percentage of parents expressing fear of surgical outcomes (P ​= ​0.025). The cost of surgery (34.33%) and the non-availability of facilities (23.88%) also delayed the intervention.

Conclusions

It is essential to educate parents about the importance of strabismus therapy at an appropriate time, stressing its reconstructive rather than merely cosmetic nature, as there are notable gaps in their knowledge. Also, we need to do away with the fear of surgical outcomes of surgical interventions for strabismus.

目的 探讨阻碍斜视早期干预的家长因素,从而确定改善专业护理的策略。方法 这项以医院为基础的横断面研究纳入了印度北部一家三级医疗保健中心斜视门诊接受治疗的 19 岁以下斜视儿童的 110 名家长。研究人员向受试者发放了一份经过预先验证的调查问卷,其中一部分涉及受试者的社会人口统计学特征,另一部分涉及家长对斜视诊断的了解程度以及是否需要进行眼科检查。结果 共有 110 名斜视患者(59 名外斜视患者和 51 名内斜视患者)的家长/监护人接受了调查问卷。80%的斜视患者是由家长自己发现的,家长的受教育程度与发现斜视的年龄有很大关系(P < 0.0001)。对手术结果的恐惧(41.79%)是阻碍及时手术的一个重要因素,表示对手术结果恐惧的家长比例较高(P = 0.025)。手术费用(34.33%)和设施不到位(23.88%)也延误了手术治疗。此外,我们还需要消除对斜视手术治疗结果的恐惧。
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引用次数: 0
期刊
Advances in ophthalmology practice and research
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