Intravitreal bevacizumab for treatment of choroidal neovascularization in pathologic myopia
Intravitreal bevacizumab for treatment of choroidal neovascularization in pathologic myopia
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DOI：
10.1097/01.iae.0000254896.78766.74
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发表时间：
2006-11-01
影响因子：
3.3
通讯作者：
Apte, Rajendra S.
中科院分区：
文献类型：
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作者：
Tewari, Asheesh;Dhalla, Mandeep S.;Apte, Rajendra S.
结果本组视网膜脱离患者的平均年龄SD为63.2 - 10.3岁。他们是64名男性和36名女性。82%的患者视力下降（66%为黄斑脱离，10%为掩盖黄斑的气泡性视网膜脱离，6%为玻璃体出血）。10%的患者能够解释什么是视网膜脱离，20%的患者听说过视网膜脱离，70%的患者对视网膜脱离一无所知。有晶状体或假性晶状体的患者对视网膜脱离的认知没有显著差异（p0.4）。1）. 有视网膜脱离病史的四名患者中有三名能够给出视网膜脱离的定义。20%的患者视力下降是由于白内障，还有一名患者（2%），视力下降是由于炎症，尽管他之前有过视网膜脱离。只有8%的患者认为视网膜脱离（三名患者有视网膜脱离史，包括一名医生）。大多数患者（70%）没有假设。视力下降后的平均咨询时间为24小时，而视野截肢后的平均咨询时间为75小时。一旦他们决定去看医生，他们平均需要33个小时才能见到眼科医生。当患者描述视力丧失时，会诊预约比描述视野截肢时要早。只有30%的患者以前咨询过他们的全科医生，其中18%通过电话咨询。直接去看眼科医生是最好的选择。
ResultsThe mean age SD of the patients presenting with retinal detachment in this study was 63.2 10.3 years. They were 64 men and 36 women. Decreased vision was found in 82% of patients (66%, macular detachment; 10%, bubbly retinal detachment masking the macula; 6%, vitreous hemorrhage). Ten percent of patients were able to explain what a retinal detachment was, 20% had heard of it, and 70% had no knowledge of that condition. No significant difference was found between phakic or pseudophakic patients with regard to their knowledge of retinal detachment (P 0.4)(Fig. 1). Three of four patients who had a history of retinal detachment were able to give a definition for it.For 20% of patients, decreased vision was due to cataract, and for one patient (2%), it was due to inflammation, although he had had a previous retinal detachment. Only 8% of patients thought of retinal detachment (three patients had a history of retinal detachment, including one physician). Most patients (70%) had no hypothesis. The mean consultation time after decreased vision was 24 hours versus 75 hours after visual field amputation. Once they had made a decision to consult a physician, it took patients 33 hours on average to see an ophthalmologist. Consultation appointments were granted sooner when patients described vision loss than when they described visual field amputation. Only 30% of patients consulted their general practitioner before, including 18% by telephone. Direct access to the ophthalmologist was the preferred option.