与印度比哈尔邦登革热相关的视力丧失原因 - 一个案例系列
Anita Ambasta1, Rakhi Kusumesh1, Mobashir Ali1
1Regional Institute of Ophthalmology, Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India.
概括
登革热可以通过各种眼睛疾病导致视力丧失,包括视神经病变和黄斑疾病. 早期的眼科检查对于诊断和管理这些危及视力的并发症至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 登革热的发病率和地理分布在全球范围内显著增加.
- 登革热的眼部表现以前被认为是罕见的,但现在被认为是令人担忧的.
研究的目的:
- 报告印度近期疫情期间登革热患者眼睛表现和视力损失的频谱.
- 分析血小板缺血和登革热眼病中的特定眼部发现之间的关联.
主要方法:
- 一个回顾性干预病例系列,包括15名视力丧失患者,被诊断患有登革热眼病.
- 进行和分析了全身和眼科检查.
主要成果:
- 常见的眼部发现包括视神经病变 (8名患者),黄斑干扰 (4名患者) 和带有轨道细胞炎的全眼膜炎 (3名患者).
- 在患有视神经病变和黄斑疾病的患者中观察到视力恢复,而泛眼炎病例是无法挽救的.
- 血栓缩与眼部出血和全眼膜炎相关,但不是视神经病变.
结论:
- 视神经病变是登革热中视力丧失的潜在原因之一.
- 建议对所有被诊断患有登革热眼病的患者进行眼科检查,以检测和管理视力障碍.
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