Correlation Between Recurrent Subconjunctival Hemorrhages and Conjunctivochalasis by Clinical Profile and Successful Surgical Outcome. Eye Contact Lens.
Correlation Between Recurrent Subconjunctival Hemorrhages and Conjunctivochalasis by Clinical Profile and Successful Surgical Outcome. Eye Contact Lens.
复制标题
复发性结膜下出血与结膜松弛症的临床特征和成功手术结果之间的相关性。
DOI：
10.1097/icl.0000000000000139
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Ohashi Y.
中科院分区：
文献类型：
--
作者：
Yamamoto Y;Yokoi N;Ogata M;Shiraishi A;Yamaguchi M;Uno T;Inagaki K;Hayashi K;Kinoshita S;Ohashi Y.
目的：探讨复发性结膜下炎（subconjunctival diseases，SCH）患者的临床特征，评价结膜松弛症（conjunctivochalasis，CCh）手术对复发性SCHs患者的影响。比较两组患者的CCh严重程度、SCH发作时的生活方式以及既往SCH的发生频率。38例有2次或2次以上SCH发作的患者（平均年龄，68.2±8.9岁）接受了CCh手术。手术的有效性进行了评估，通过比较频率的SCH术前和postoperatives.Results：患者有三个或更多的复发SCH表现出显着（P= 0.003）较高的等级CCh，往往是从事活动，需要视觉浓度，如观看视觉显示终端，针织，阅读，驾驶。80%以上的CCh患者术后无复发，术后SCH发生率明显降低（P< 0.0001）。结论：中、重度CCh患者及干眼症活动可能是SCH复发的危险因素。手术治疗CCh对于经常复发的SCH患者是一个有用的选择。
Objective:To characterize the clinical profile of patients with recurrent subconjunctival hemorrhages (SCHs) and evaluate the effect of conjunctivochalasis (CCh) surgery on disease recurrences.Methods:Three hundred and sixty-two patients with SCHs (mean age, 56.4±16.0 years) were enrolled in this multicenter epidemiologic study. The severity of CCh, lifestyle at the time of SCH onset, and the frequency of previous SCHs were compared. Thirty-eight patients with 2 or more episodes of SCHs (mean age, 68.2±8.9 years) underwent surgery for CCh. The effectiveness of surgery was evaluated by comparing the frequency of SCH preoperatively and postoperatively.Results:Patients with three or more recurrent SCHs showed a significantly (P= 0.003) higher grade of CCh and tended to be engaged in activities that require visual concentration, such as watching a visual display terminal, knitting, reading, and driving. More than 80% of eyes that underwent surgery to CCh showed no recurrence of the hemorrhages, and the frequency of SCH significantly (P< 0.0001) decreased postoperatively.Conclusions:Moderate or severe CCh and activities that may cause dry eye can be considered to be risk factors for recurrent SCHs. Surgery to treat CCh is a useful option for patients with frequent recurrences of SCHs.