■当前的研究向美国眼科学会(AAO)视觉智能研究(IRIS)注册表查询有关流行病学的数据,工作,和自身免疫性眼眶炎症的管理模式。
■分析和描述2013年至2019年IRIS注册中心的患者数据,使用基于国际疾病分类(ICD)和当前程序术语(CPT)代码的过滤器审查自身免疫性或特发性眼眶炎症患者。甲状腺眼病患者,眼眶蜂窝织炎,排除眼眶脓肿。
■人口统计学描述包括性别,年龄,地理区域,和治疗。通过评估成像率进行子分析,活检,实验室工作,和诊断类别。
■在最后一批20,584名患者中,眼眶炎症的平均发病年龄为51.7岁;67%为女性;63%为高加索人,21%未知,12%黑色,2.6%亚洲人,其他1.5%。只有49人有成像,78人进行了实验室检查,1411个有活检编码.治疗结果显示166名患者接受抗生素治疗,224名接受类固醇治疗的患者,和35名患者同时接受这两种治疗。
■这项研究评估了流行病学,诊断模式,以及通过AAOIRIS注册表对眼眶炎症的治疗模式。实践模式表明,与活检相比,成像和实验室研究的总体比率相对较低。尽管这肯定低估了成像和实验室研究的实际数量,并证明了使用大型数据库固有的不精确性。然而,本研究的方法提供了一个框架来接近眼可塑性研究的IRIS注册表.
UNASSIGNED: The current study queries the American Academy of Ophthalmology (AAO) Intelligent Research in Sight (IRIS) registry for data on the epidemiology, work-up, and management patterns of autoimmune orbital inflammation.
UNASSIGNED: Analysis and description of patient data from the IRIS registry between 2013 and 2019 reviewing patients with autoimmune or idiopathic orbital inflammation with filters based on International Classification of Disease (ICD) and Current Procedural Terminology (CPT) codes. Patients with thyroid eye disease, orbital cellulitis, and orbital abscess were excluded.
UNASSIGNED: Demographic descriptions included gender, age, geographic region, and treatment. Sub-analysis was performed by assessing rates of imaging, biopsy, lab work-up, and diagnostic categories.
UNASSIGNED: In a final cohort of 20,584 patients, the mean age of onset of orbital inflammation was 51.7 years; 67% female; and 63% Caucasian, 21% unknown, 12% Black, 2.6% Asian, and 1.5% other. Only 49 had imaging, 78 had laboratory work-up, and 1,411 had biopsy codes. Treatment results showed 166 patients receiving antibiotics, 224 patients receiving steroids, and 35 patients receiving both.
UNASSIGNED: This study assessed the epidemiology, diagnostic patterns, and treatment patterns for orbital inflammation through the AAO IRIS registry. Practise patterns suggest a relatively low overall rate of imaging and laboratory studies compared to biopsies, although this certainly under-represents the actual number of imaging and laboratory studies and exemplifies the inherent imprecision of using a large database. However, the methodology of this study provides a framework of approaching the IRIS registry for oculoplastic research.