在患有巨细胞关节炎的患者中,双眼双眼症的特征和预后
Thibaud Chazal1, Gaelle Clavel, Tifenn Leturcq
1Internal Medicine Department (TC, GC, TL), Neuro-Ophtalmology Department (MP, CV-C), and Neuroradiology Department (AL), Hopital Fondation Adolphe de Rothschild, Paris, France.
概括
滴是巨细胞动脉炎 (GCA) 的罕见但显著的症状. 对GCA进行及时的皮质类固醇治疗可以消除双眼视,防止视力丧失.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 神经学 神经学
背景情况:
- 巨细胞动脉炎 (GCA) 是一种大血管血管炎.
- GCA 存在永久视力损失的风险.
- 关于GCA患者双眼视的预后的数据有限.
研究的目的:
- 在新诊断的GCA患者中表征双眼视.
- 调查GCA中双眼视的结果.
主要方法:
- 在2015年1月至2021年4月期间诊断的GCA患者的回顾性审查.
- GCA诊断通过动脉活检或高清MRI证实.
主要成果:
- 在27%的GCA患者中发生了二流.
- 神经是双眼视的主要原因 (88%).
- 眼睛缺血病变发生在37%的双眼视患者中;20%的患者有视力丧失.
结论:
- 双是不常见的GCA表现,但值得怀疑.
- 早期启动皮质类固醇治疗对于预防眼部并发症至关重要.
- 及时治疗可以导致双眼视的解决,并防止视力丧失.
更多相关视频
相关概念视频
Glaucoma: Overview
633
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
633
Angle Closure Glaucoma: Treatment
578
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
578
Open Angle Glaucoma: Treatment
491
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
491


