接种COVID-19疫苗后双边中央视网膜静脉封闭:原因还是巧合?
Khaled El Matri1,2,3, Slim Werda1, Zouheir Chebbi1
1Department of ophthalmology B, Institut Hédi Raies d'ophtalmologie de Tunis, Tunis, Tunisia.
European journal of ophthalmology
|January 31, 2024
概括
本病例报告详细介绍了一名患者,在接种了第三剂抗COVID-19疫苗后,他经历了连续的双边中央视网膜静脉封闭 (CRVO). 这种罕见的事件表明疫苗接种和CRVO发展之间存在潜在的联系.
科学领域:
- 眼科医生 眼科 眼科
- 疫苗学 疫苗学 疫苗学
- 血管医学 血管医学
背景情况:
- 中央视网膜静脉封闭 (CRVO) 是一种严重的血管疾病,影响视力.
- COVID-19疫苗经过了广泛的安全监测,正在调查罕见的不良事件.
研究的目的:
- 为了介绍发生在第三剂抗COVID-19疫苗接种后的连续双边缺血中心视网膜静脉封闭 (CRVO) 的第一个报告病例.
- 突出CRVO作为COVID-19疫苗接种的眼科并发症的潜力.
主要方法:
- 观察情况报告.
- 详细的临床检查,包括 funduscopy,光素血管学和光学连贯性断层扫描 (OCT).
- 对潜在风险因素的系统性评估.
主要成果:
- 一名73岁的男性在接种疫苗后18天左右的右眼出现了突然的视力损失,随后在10天后的左眼出现了视力损失.
- 两只眼睛都表现出缺血性CRVO的迹象,视力明显受损.
- 经过OCT检测,发现了视网膜内层的失调和黄斑的加厚.
- 轻度高血压是系统性检查中唯一显著的发现.
结论:
- 这一案例表明,抗COVID-19疫苗接种和顺序双边CRVO的发展之间存在潜在的联系.
- 应考虑CRVO是COVID-19疫苗接种的可能眼科副作用.
- 需要进一步调查与疫苗相关的血管事件.
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