视神经头部透,可能是结核性水炎
Marwan A Abouammoh1, Lojain A Azizalrahman1, Abdulrahman F Albloushi1
1Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Middle East African journal of ophthalmology
|March 4, 2024
概括
结核病可以影响视神经头部 (ONH),导致透. 多模式成像和用抗结核药物和皮质类固醇治疗在三名患者中显示出成功的结果.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 结核病 (TB) 是一个重要的全球健康问题.
- 结核病中的眼部参与可能是多样化的,并且难以诊断.
- 视神经头部 (ONH) 透是眼性结核病的一个罕见表现.
研究的目的:
- 描述假定结核ONH透的临床和多式成像特征.
- 突出印ocyanine绿色血管学 (ICGA) 在眼性结核病的诊断实用性.
- 报告这种罕见疾病的治疗结果.
主要方法:
- 3名患者的回顾性病例系列,其中涉嫌有结核性ONH透.
- 临床检查包括 fondoscopy.
- 多式成像:光学连贯断层扫描 (OCT), fundus 光素血管扫描 (FFA) 和 ICGA.
- 用标准抗结核疗法和全身皮质类固醇治疗.
主要成果:
- 所有3名患者均呈现出单边假定结核ONH透.
- 相关的结核性胆道干涉在临床上是明显的,并由ICGA证实.
- 通过结合抗结核疗法和皮质类固醇,获得了成功的治疗结果.
结论:
- 结核ONH透是一种罕见但可治疗的视神经病变的原因.
- 多模式成像,特别是ICGA,对于诊断相关的胆道干涉至关重要.
- 用抗结核药物和皮质类固醇及时治疗会带来有利的结果.
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