后部部分表现和成像特征在COVID-19后出现
Srinivasan Sanjay1, Sameeksha Agrawal1,2, Chaitra Jayadev2
1Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, India.
Medical hypothesis, discovery & innovation ophthalmology journal
|August 29, 2023
概括
冠状病毒疾病2019 (COVID-19) 即使在康复后,也可能导致后部紫外网膜表现,包括血管变化. 后COVID-19患者需要眼睛评估来检测这些潜在的视力威胁并发症.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 视网膜成像 视网膜成像
背景情况:
- 新冠病毒病2019 (COVID-19) 是一种全身性病毒性疾病.
- 在COVID-19患者中报告了眼部表现,特别是后部部分 (视膜和视网膜) 的参与.
研究的目的:
- 总结COVID-19患者和后者的后部部分表现和成像特征.
主要方法:
- 在2019年12月1日至2021年5月30日期间发表的文章进行了PubMed/MEDLINE的文献搜索.
- 包括26个病例报告和8个病例系列,详细介绍了临床特征和成像发现.
主要成果:
- 报告的后部部位表现包括棉羊毛斑,视网膜出血,中央血清性视网膜病变,视神经炎和视网膜血管闭塞.
- 光学连贯断层扫描血管学 (OCTA) 揭示了COVID-19患者视网膜的微血管变化.
结论:
- COVID-19可能导致膜视网膜并发症,在康复后仍存在.
- 建议对所有COVID-19患者进行眼科评估,即使是没有眼部症状的患者,以检测后部部位的参与.
- 一些患者可能需要抗凝剂或抗血小板治疗,以确定血管变化.
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