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Ocular complaints and diagnoses in spaceflight
npj Microgravity ( IF 5.1 ) Pub Date : 2024-01-02 , DOI: 10.1038/s41526-023-00335-7
Elana Meer , Seanna R. Grob , Kris Lehnhardt , Aenor Sawyer

The NASA human system risk board (HSRB) has long focused on trauma and acute medical illness as a key contributor to high level in-flight medical risk. However, ocular issues, trauma, and complaints during spaceflight are poorly characterized. In a retrospective case series, the NASA data from the life sciences data archieve (LSDA) and the lifetime surveillance of astronaught health (LSAH) was queried for eye related complaints and conditions in spaceflight across international space station (ISS) missions and space shuttle (STS) missions. The ISS dataset included missions from the year 2000 to 2020, and the STS dataset included missions from 1981 to 2011. Data were reviewed and segmented into categories of ocular complaints. 135 STS missions and 63 ISS missions were included in this analysis. Ocular events were only noted across 83 STS missions (61.5%) and 41 ISS missions (65.1%). Overall, the most common ocular complaints were eye irritation (n = 80, 33.1%), ocular foreign body or foreign body sensation (n = 55, 22.7%), dry eye syndromes (n = 38, 15.7%), epiphora or excessive tearing (n = 19, 7.85%). Of all ocular complaints or diagnoses, 9 (3.72%) were considered higher severity (keratitis, corneal ulcer, chemical exposure, and corneal abrasion). However, seemingly none required evacuation from mission. Improved depiction of ocular symptoms and diagnoses, and a more standard classification system and process to describe ocular symptoms, diagnoses, and treatments in space is crucial to provide more effective and comprehensive treatments.



中文翻译:

航天中的眼部不适和诊断

NASA 人体系统风险委员会 (HSRB) 长期以来一直关注创伤和急性医疗疾病,将其视为造成高水平飞行医疗风险的关键因素。然而,航天飞行期间的眼部问题、创伤和投诉却很少被描述。在一个回顾性案例系列中,美国宇航局从生命科学数据档案库 (LSDA) 和宇航员健康终生监测 (LSAH) 中获取的数据被查询,以了解国际空间站 (ISS) 任务和航天飞机飞行中与眼睛相关的投诉和状况。 STS)任务。ISS 数据集包括 2000 年至 2020 年的任务,STS 数据集包括 1981 年至 2011 年的任务。数据经过审查并分为眼部不适类别。该分析包括 135 个 STS 任务和 63 个 ISS 任务。仅在 83 次 STS 任务(61.5%)和 41 次 ISS 任务(65.1%)中发现了眼部事件。总体而言,最常见的眼部不适是眼睛刺激(n  = 80, 33.1%)、眼部异物或异物感(n  = 55, 22.7%)、干眼综合征(n  = 38, 15.7%)、溢泪或过度撕裂(n  = 19, 7.85%)。在所有眼部不适或诊断中,有 9 项(3.72%)被认为严重程度较高(角膜炎、角膜溃疡、化学品接触和角膜擦伤)。然而,似乎没有人需要从任务中撤离。改进对眼部症状和诊断的描述,以及在太空中描述眼部症状、诊断和治疗的更标准的分类系统和流程对于提供更有效和更全面的治疗至关重要。

更新日期:2024-01-03
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