过敏真菌鼻炎患者的急性视力丧失:一个案例系列
Hussain Allami1, Hadeel Muhammad Alarfaj2, Hisham Almousa
1College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Therapeutic advances in allergy and rhinology
|December 11, 2023
概括
过敏性真菌鼻炎 (AFRS) 可能导致由于轨道并发症而导致急性视力丧失. 早期诊断和治疗至关重要,尽管即使在手术后,视力恢复也可能受到限制.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 眼科医生 眼科 眼科
- 病理学 病理学 病理学
背景情况:
- 过敏性真菌鼻炎 (AFRS) 是一种常见的慢性鼻炎亚型.
- 轨道干扰是已知的,但视神经病变和急性视力丧失是罕见的并发症.
研究的目的:
- 报告三个患有AFRS的患者呈现急性视力损失.
- 要突出管理AFRS与轨道延伸和视力障碍的挑战.
主要方法:
- 三名患有AFRS和急性视力丧失的成年患者的病例系列.
- 用轨道减压进行内镜鼻手术.
- 术后随访与耳鼻喉科和眼科服务.
主要成果:
- 所有患者都出现了广泛的鼻和轨道骨质侵蚀.
- 尽管手术减压成功,但没有观察到明显的视力改善.
- 一名患者出现了额外的头骨神经缺陷 (CN III和IV).
结论:
- AFRS可能导致严重的视觉并发症,包括视觉神经病变.
- 及时诊断和多学科管理是必不可少的.
- 在晚期病例中,早期干预可能不能保证视力恢复.
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