与COVID-19相关的胆管管血管病变的频谱
Piero Carletti1,2, Aaditya Shah3, Christopher Bair4
1Dr. Kiran C. Patel College of Allopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA.
American journal of ophthalmology case reports
|May 31, 2023
概括
由于视网膜血管病变,COVID-19感染可能导致严重的视力丧失. 用抗炎和抗凝疗法及时治疗对于管理这种危及视力的并发症至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 血管医学 血管医学
背景情况:
- 结膜炎是COVID-19最常见的眼部症状.
- 然而,已经报告了视力威胁的视网膜并发症,如胆管血管病变.
- 这些血管事件可以导致显著的视觉发病率.
研究的目的:
- 报告和描述5例急性视力丧失病例中的多式视网膜成像发现,其次是假定与COVID-19感染暂时相关的胆管血管病变.
- 审查有关COVID-19感染和视网膜微血管变化的相关文献.
- 要突出COVID-19相关的胆管血管病变患者的不同严重程度,视觉发病率和治疗反应.
主要方法:
- 在COVID-19感染后出现急性视力丧失的5名患者的观察性多中心病例系列.
- 综合多模式视网膜成像被用于描述视网膜发现.
- 使用在线数据库进行了系统的文献审查,以收集现有证据.
主要成果:
- 该研究描述了5名患者的10只眼睛 (3名男性,2名女性;平均年龄30.8岁) 患有COVID-19后急性视力丧失.
- 患者经历了COVID-19严重程度的范围,从轻度到危及生命的脑病变.
- 治疗包括类固醇,免疫抑制,光凝,抗病毒药物和抗凝剂,可变的视力恢复,包括永久的视力丧失.
结论:
- 临床医生必须考虑COVID-19感染后视力威胁的视网膜血管病变的可能性.
- 治疗策略应包括抗炎疗法和抗凝药,以及密切监测.
- 一些患者可能需要慢性免疫抑制或抗VEGF治疗以获得最佳结果.
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