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与COVID-19相关的瓦尔萨尔瓦视网膜病变:诊断和外科管理

Wesley Han¹, Sean D Adrean²

¹Undergraduate, College of Biological Sciences, University of California, Davis, CA, USA.

Journal of vitreoretinal diseases

|September 13, 2023

概括

严重的瓦尔萨尔瓦视网膜病变,是COVID-19症状的并发症,如咳和吐,通过手术成功治疗. 这一案例凸显了病毒性疾病与视网膜出血之间的联系.

科学领域:

眼科医生眼科眼科
传染性疾病传染性疾病
视网膜外科手术视网膜外科手术

背景情况:

COVID-19可能会出现严重的呼吸道症状,包括剧烈的咳和吐.
这些症状可以导致Valsalva视网膜病变,以视网膜出血为特征.
了解这种关联对于及时诊断和管理至关重要.

研究的目的:

为了记录与COVID-19症状相关的严重Valsalva视网膜病变的病例.
详细介绍这种疾病的诊断过程和手术治疗方法.
要突出COVID-19引起的症状和瓦尔萨尔瓦视网膜病变之间的关系.

主要方法:

病例报告详细介绍了患者的表现和症状.
眼科检查,包括 fundus 摄影.
光学连贯断层扫描 (OCT) 用于评估出血 (手术前和手术内).

主要成果:

一名患者因COVID-19相关的咳和吐而出现严重的瓦尔萨尔瓦视网膜病变.
手术干预成功地消除了玻璃体出血 (VH) 和下内部限制膜 (sub-ILM) 出血.
在外科手术过程中,OCT证实了形出血和内出血,保守地管理,成功恢复视力到20/20 OD.

结论:

与COVID-19相关的严重咳和吐可能导致Valsalva视网膜病变.
在这种情况下,手术治疗对VH和亚ILM出血是有效的.
在经外科手术后的OCT指导下,对内叶出血进行保守的管理,可以带来有利的结果.

关键词:

在 COVID-19 疫情中,瓦尔萨尔瓦视网膜病变瓦尔萨尔瓦视网膜病变在外科手术期间,外科外科手术的外科外科外科外科外科.玻璃切除术 (vitrectomy) 是一种切除器官的方法.

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