在急性甲醇中毒后的眼睛表现
Maamouri Rym1,2, Nabi Wijden1,2, Maamouri Héla2,3
1Department of Ophthalmology, Habib Thameur hospital, Tunis, Tunisia.
Neuro-ophthalmology (Aeolus Press)
|July 12, 2023
概括
急性甲醇中毒会导致严重的视力丧失. 这项研究发现,81.8%的视觉症状患者出现了眼部异常,包括视神经病变,这凸显了在甲醇中毒病例中眼科评估的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 急性甲醇中毒是一种危及生命的疾病.
- 视力损伤显著影响甲醇中毒后的功能预后.
研究的目的:
- 描述急性甲醇中毒的眼部表现.
- 分析突尼斯甲醇中毒疫情期间的眼科发现.
主要方法:
- 对21名急性甲醇中毒患者 (41只眼睛) 的病例系列分析.
- 综合眼科检查包括视野,色视测试和光学连贯性断层扫描 (OCT) 与视网膜神经纤维层 (RNFL) 评估.
- 根据视觉症状的存在或不存在将患者分为不同组.
主要成果:
- 在有视觉症状的81.8%的患者中存在眼部异常.
- 常见的发现包括视神经病变 (63.6%),中枢视网膜动脉封闭 (9.1%),以及中枢血清性胆红蛋白病变 (9.1%).
- 在没有眼部症状的患者中,平均血中甲醇水平显著更高 (p=0.03).
结论:
- 急性甲醇中毒经常导致眼睛显著异常.
- 视神经病变是患有视觉症状的患者的主要关注点.
- 较高的甲醇血与缺乏眼部症状相关,这表明存在复杂的剂量反应关系或差异性表现.
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