COVID-19的眼部表现:系统审查和元分析
Edward Tran1, Vivian Phu1, Riley Xu1
1Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|September 8, 2023
概括
COVID-19通常会导致眼睛问题,包括结膜炎,垂症和视网膜问题,如出血和棉毛斑. 了解这些眼部表现有助于更快地诊断和治疗病毒.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 众所周知,COVID-19有呼吸系统症状,但也表现出肺外表现.
- 越来越多地认识到COVID-19的眼部表现,影响患者的健康和诊断.
研究的目的:
- 综合详细说明COVID-19患者中各种眼部表现的流行情况.
- 通过系统性审查和元分析,综合现有关于COVID-19眼部影响的研究.
主要方法:
- 2021年6月至2023年5月期间发表的研究的系统审查和元分析.
- 从43篇涉及10,572名受试者的文章中提取和分析数据,使用STATA 14.0.0.
- 利用固定效应和随机效应模型来评估异质性.
主要成果:
- 在COVID-19患者中,结膜炎 (ES=0.11),死 (ES=0.22) 和眼 (ES=0.40) 的患病率显著增加.
- 观察到后部段发现的患病率增加,包括棉花斑 (ES=0.06),视网膜出血 (ES=0.12),视网膜静脉曲 (ES=0.19).
结论:
- COVID-19影响眼睛的前后两部分.
- 结膜炎是一个常见的前部发现,而棉花毛斑,视网膜出血和静脉形是后部发现.
- 识别这些眼部迹象可以导致更早的COVID-19诊断和治疗.
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