评估内源性内眼炎的临床过程
Krista N Thompson1, Ahmed M Alshaikhsalama1, Angeline L Wang1
1The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Journal of vitreoretinal diseases
|September 14, 2023
概括
内源性内眼炎的视觉效果不佳. 菌感染提供比细菌感染更好的视力恢复,初始视力敏度强烈预测最终结果.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 内源性内眼炎是一种严重的眼内感染.
- 它需要及时诊断和治疗,以保持视力.
研究的目的:
- 分析内源性内炎的临床表现,过程,治疗方法和结果.
- 确定影响受影响患者视力敏度的因素.
主要方法:
- 从2016年至2021年间,对31名被诊断患有内源性内炎的患者的37只眼睛进行了回顾性审查.
- 收集的数据包括人口统计,风险因素,症状,传染病原体,并发症和视力敏度 (VA) 随着时间的推移.
主要成果:
- 细菌性内耳炎比真菌性内耳炎更为常见. 常见的病原体包括金黄色葡萄球菌,白 Candida 和 Pseudomonas aeruginosa.
- 整体视力敏度在治疗后没有显著改善. 菌感染在6个月和最后的随访时比细菌感染有明显更好的视觉结果.
- 呈现视敏度是最终视敏度的强有力的预测指标.
结论:
- 内源性内眼炎的视觉结果通常很差.
- 致病生物的类型 (细菌与真菌) 和初始视力敏度是最终视觉结果的关键预测因素.
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