临床过程和光学连贯性断层扫描的眼球血管强化症:一个案例报告
Kanin Luangsawang1, Veeraphatra Wongsantimeth1, Sirinan Treeyawedkul1
1Department of Ophthalmology, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand.
Journal of current ophthalmology
|September 8, 2023
概括
由Angiostrongylus cantonensis引起的眼膜血管病可以导致视力丧失. 这一案例凸显了识别临床症状和光学连贯性断层扫描 (OCT) 发现对于及时诊断和治疗的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 寄生虫学的寄生虫学
- 传染性疾病 传染性疾病
背景情况:
- 眼球血管强化病是一种罕见的寄生虫感染,会影响眼睛.
- 它是由线虫Angiostrongylus cantonensis引起的,通常在动物中发现,并通过牛和淡水等中间宿主传播给人类.
- 摄入被寄生虫幼虫污染的原料或未煮熟的食物是人类感染的主要途径.
研究的目的:
- 记录眼球血管强化病患者的临床表现和光学连贯性断层扫描 (OCT) 发现.
- 为了说明OCT在识别与这种疾病相关的特征性变化的诊断实用性.
- 报告眼部血管强化病例的管理和结果.
主要方法:
- 一个36岁的女性患有急性单边视力丧失的病例报告.
- 临床检查包括最佳校正视敏度 (BCVA) 和 funduscopy.
- 斑点光学连贯性断层扫描 (OCT) 来评估视网膜和胸膜结构.
- 通过帕斯普拉纳视切除术手术提取圆虫 (Angiostrongylus cantonensis) 的方法.
主要成果:
- 患者出现了无痛的视力损失,视炎,视网膜色素上皮质变化,以及玻璃体内可见的圆虫.
- 斑点OCT显示了视网膜稀薄,视网膜外层的损失,子视网膜超反射材料和胆道超反射焦点.
- 通过手术成功地切除了形虫 (Angiostrongylus cantonensis).
结论:
- 眼球血管强化病具有明显的临床和OCT发现.
- 早期诊断和干预,包括手术切除寄生虫,对于管理眼部症状至关重要.
- 这一案例强调了考虑寄生虫感染在无法解释的视力障碍的差异诊断中的重要性.
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