未经治疗的视神经炎的自然史与轻微的COVID-19感染有关
Eileen Javidi1,2, Samir Touma1,2, Fares Antaki1,2
1Department of Ophthalmology, Université de Montréal, Montreal, CAN.
Cureus
|August 21, 2023
概括
这项案例研究表明,2019年冠状病毒病 (COVID-19) 可以导致视神经炎. 患者在没有治疗的情况下自发康复,突出了病情的自然史.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 视神经炎是一种影响视神经的炎症状况.
- 冠状病毒疾病2019 (COVID-19) 与各种神经系统并发症有关.
- 目前仍在调查COVID-19的眼部表现.
研究的目的:
- 描述COVID-19患者未经治疗的视神经炎病例.
- 为了解COVID-19相关视觉神经炎的自然史提供见解.
- 评估这种疾病的临床表现和诊断发现.
主要方法:
- 一个29岁的男性患有COVID-19的病例报告.
- 临床检查包括视觉敏度,色彩视觉,瞳孔反应,后视镜.
- 光学连贯断层扫描 (OCT) 和视野测试.
- 通过实验室和成像研究排除其他潜在病因.
主要成果:
- 患者在COVID-19诊断后六天出现了右眼视力丧失和光盘.
- OCT显示了视网膜神经纤维层厚度的增加,视野测试显示了下鼻缺陷.
- 没有发现视神经炎的根本原因,支持COVID-19相关视神经炎的诊断.
- 患者在没有特殊治疗的情况下自发改善.
结论:
- COVID-19可能与视神经炎有关.
- 在COVID-19的背景下,视神经炎可能会在没有治疗的情况下遵循自我限制的过程.
- 需要进一步的研究来了解COVID-19相关的视神经炎的病理生理学和长期结果.
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