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眼部和面部痴呆症的并发症
Wei-Lun Huang1, Chang-Ming Huang2, Chia-Yu Chu2
1From the Department of Ophthalmology, National Taiwan University Hospital Hsinchu Branch (W.-L.H.), Hsinchu, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University (W.-L.H.), Taipei, Taiwan.
American journal of ophthalmology
|September 22, 2023
概括
面部Demodex过度生长 (FDO) 在眼部demodicosis中很常见,特别是严重的病例. 用ivermectin治疗面部Demodex显著改善了眼部Demodex根除,并与标准眼部治疗一起进行.
科学领域:
- 眼科医生 眼科 眼科
- 皮肤病学 皮肤病学
- 寄生虫学的寄生虫学
背景情况:
- 痴呆症是一种Demodex虫的感染,影响眼睛和面部区域.
- 眼部和面部痴呆症之间的关系以及面部治疗对眼部结果的影响需要进一步研究.
研究的目的:
- 为了调查眼睛病变和面部病变之间的关联.
- 评价面部治疗在治疗眼部痴呆症中的有效性.
主要方法:
- 一项前性临床队列研究招募了89名患有眼睛痴呆症的门诊患者.
- 高眼睛的Demodex负载 (ODL) 被定义为≥8/眼睛;面部的Demodex过度生长 (FDO) 是>5/cm2.
- 患者接受了眼科治疗;FDO患者也接受了皮肤治疗.
主要成果:
- 严重的眼睛脱毛症与面部脱毛症过度生长的更高患病率相关 (77%vs49%).
- 面部皮肤上局部使用的艾弗梅克显著增加了FDO患者的眼部Demodex根除率 (76%对16%).
- 在没有FDO的患者中,治疗改善了眼部表面疾病指数得分.
结论:
- 眼睛和面部痴呆症经常同时存在,特别是在严重的眼睛病例中.
- 虽然单独使用眼部治疗有帮助,但将其与局部面部艾弗梅克相结合,可以在患有并发性面部感染的患者中加强Demodex虫的根除.
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