Ophthalmologist Perceptions Regarding Treatment of Moderate-to-Severe Dry Eye: Results of a Physician Survey
Ophthalmologist Perceptions Regarding Treatment of Moderate-to-Severe Dry Eye: Results of a Physician Survey
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DOI：
10.1097/icl.0b013e3181c739ad
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发表时间：
2010-01-01
影响因子：
2.3
通讯作者：
Spiegel, Scott
中科院分区：
文献类型：
--
作者：
Asbell, Penny A.;Spiegel, Scott
目的：为了解眼科医生目前对中重度干眼症（DED）患者的看法和治疗情况，研究方法：在线调查，调查对象为2008年10月9日至21日美国7,882名眼科医生，其中51名为角膜专家。回复率为3.1%（n = 245），这是此类调查的典型结果。只有眼科医生谁治疗四个或更多的中度至重度DED患者每月（235 245 [96%]）被要求完成surveillance.Results：百分之九十四的受访者同意，更多的治疗方案是需要中度至重度DED。角膜专家（63%）比普通眼科医生（54%）更可能强烈同意。总体而言，只有33%的人认为目前的治疗对中度DED非常有效或非常有效，只有5%的人认为目前的治疗对重度DED非常有效或非常有效。92%的人同意需要多种治疗药物来管理中度至重度DED。在一年的时间里，受访者为中度DED患者开出或推荐了平均3.2种不同的治疗方法（标准差= 1.2），为重度DED患者开出或推荐了4.9种（标准差= 2.2）。治疗中度至重度DED患者的最高目标是维持和保护眼表（I级或2 X 74%）以及润滑和水合眼表（I级或2 X 67%）。角膜专家排名维护和保护眼表甚至更高（排名I或2 X 82%）。结论：结果反映了治疗中度至重度DED的困难，使用多种治疗方法的重要性，目前治疗方案的局限性，以及需要额外的治疗方案。
Purpose: TO understand ophthalmologists' current perceptions and treatment of patients with moderate-to-severe dry eye disease (DED).Setting: Online survey.Methods: The online survey was sent to 7,882 ophthalmologists, including 51 corneal specialists, throughout the United States from October 9 to 21, 2008. The response rate was 3.1% (n = 245), typical for this type of survey. Only ophthalmologists who treated four or more moderate-to-severe DED patients per month (235 of 245 [96%]) were asked to complete the survey.Results: Ninety-four percent of respondents agreed that more treatment options are needed for moderate-to-severe DED. Corneal specialists were more likely to strongly agree (63%) than general ophthalmologists (54%). Only 33% overall felt that current therapies were extremely or very effective for moderate DED and only 5% for severe disease. Ninety-two percent agreed that multiple therapeutic agents are needed to manage moderate-to-severe DED. The respondents prescribed or recommended a mean of 3.2 different treatments (standard deviation = 1.2) for moderate DED patients over the course of a year and 4.9 (standard deviation = 2.2) for patients with severe DED. The most highly ranked goals for treatment of moderate-to-severe DED patients were maintaining and protecting the ocular surface (ranked I or 2 X 74%) and lubricating and hydrating the ocular surface (ranked I or 2 X 67%). Corneal specialists ranked maintaining and protecting the ocular surface even more highly (ranked I or 2 X 82%).Conclusions: Results reflected the difficulty of treating moderate-to-severe DED, the importance of using multiple treatment approaches, the limitations of current treatment options, and the need for additional treatment options.