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Measuring quality of life in oculoplastic patients

International Journal of Ophthalmology(English edition) 2014年第1期7卷 133-138页

作者： edward ridyard Clare Inkster University of Manchester Oxford RoadManchesterGreater ManchesterM13 9PLUK The Eye Unit Royal Bolton HospitalMinerva RoadFarnworthBL4 0JRUK

AIM: To investigate if there is any published evidence of impaired quality of life in conditions which are corrected by oculoplastic surgery and whether there is proven benefit in the quality of life such procedures. ·METHODS: We searched a number of databases to determine the level of evidence available for common conditions amenable to oculoplastic surgery. Search terms concentrated on quality of life measures rather than anatomical correction of deformities. ·RESULTS: The level of evidence available for different conditions was very variable. Certain conditions had extensive research documenting reduction in quality of life,with some evidence for improvement after surgery. Some other common conditions had little or no evidence supporting of reduction in quality of life to support the need for surgery. ·CONCLUSION: The evidence is sparse for quality of life improvement after some of our most commonly performed procedures. Many of these procedures are now being identified by primary care trusts(PCTs) as of "low clinical value",and are no longer being routinely commissioned in certain parts of the UK. There is a need to address this lack of evidence to determine whether oculoplastic surgery should continue to be commissioned by PCTs.

关键词： quality of life patient-reported outcomes oculoplastics low value clinical treatments

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Treatment of hydrofluoric acid exposure to the eye

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International Journal of Ophthalmology(English edition) 2015年第1期8卷 157-161页

作者： Katherine Atley edward ridyard Oxford University Hospital NHS Trust

AIM: To review the current evidence of the treatment of hydrofluoric acid(HF) exposure to the human ***: A comprehensive manual search of the literature was conducted through the Ovid interface to assess the mechanism and efficacy of each irrigator through a variety of clinical cases and experimental studies.· RESULTS: Ocular exposure to HF is extremely damaging to the eye and swift recognition and decontamination with an appropriate agent forms the basis of treatment. Although there are various decontamination solutions that have efficacy against the corrosive action of HF, irrigation with Hexafluorine proved to be the most safe and effective treatment for the ***: In conclusion emergency departments could benefit from the availability of Hexafluorine for the treatment of HF ocular burns in patients.

关键词： hydrofluoric acid cornea ocular injury

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