眼球梅毒的呈现与双边视神经病变
Mustafa Kayabaşı1, Seher Köksaldı1, Ali Osman Saatci1
1Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.
Neuro-ophthalmology (Aeolus Press)
|December 22, 2023
概括
梅毒感染导致60岁男性的渐进性视力丧失和视神经病变. 及时诊断和治疗对于管理这种罕见的视神经损伤原因至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 双边渐进性视力丧失是患者关注的一个重要原因.
- 视神经病变可能是各种系统和局部疾病的结果.
- 梅毒是一种不常见但可治疗的视神经病变的原因.
研究的目的:
- 报告双边视神经病变的病例,这是梅毒的次要病例.
- 强调在视神经病变的差异诊断中考虑梅毒的重要性.
主要方法:
- 60岁男性双边视力丧失的临床表现.
- 眼科检查包括最佳校正视敏度,视野测试,裂灯检查和眼底镜检查.
- 先进的成像:增强的深度成像光学连贯性断层扫描 (EDI-OCT), fundus自光学 (FAF) 和光素血管学 (FA).
- 系统性工作,包括血清学测试和头骨磁共振成像 (MRI).
主要成果:
- 患者出现了严重的双边视力损失和视野狭窄.
- 眼科发现包括白的光学盘和视网膜色素上皮质变化.
- 在EDI-OCT显示,在内水平上有点点的超反射点.
- FAF揭示了有点的过高和低自光.
- FA在乳头瘤区域表现出轻微的染色.
- 血清学测试证实了梅毒;头骨MRI正常.
- 这名患者正在接受梅毒治疗.
结论:
- 梅毒可以呈现为双边视神经病变,导致明显的视力损伤.
- 在患有无法解释的视神经病变的患者中,高临床怀疑梅毒指数至关重要.
- 早期诊断和适当治疗梅毒可以预防不可逆转的视力丧失.
相关概念视频
01:25Glaucoma: Overview
577
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
577
01:22Photoreceptors and Visual Pathways
6.0K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.0K
01:26Sexually Transmitted Infections
317
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
317