[在COVID-19患者中的血管眼表现]
Noa Cohen Sinai1, Rawan Kharouba1, Yakov Rabinovitz1
1Ophthalmology Department, Bnai Zion Medical Center, Haifa.
Harefuah
|May 12, 2024
概括
COVID-19可以导致严重的血管问题,如内动脉剖析 (ICAD),即使在年轻人. 迅速识别眼部症状对于及时治疗和预防视力丧失至关重要.
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:
- COVID-19,主要是一种呼吸系统疾病,越来越多地与血管和血凝性病理有关.
- 眼科表现,包括视网膜阻塞,可以先于其他COVID-19症状.
- 内动脉解剖 (ICAD) 是一种罕见但严重的血管并发症.
研究的目的:
- 在年轻人中呈现两例不典型的ICAD病例与眼部症状.
- 审查ICAD的眼部表现及其与COVID-19的潜在关联.
- 为了提高人们对不常见的COVID-19相关的血管并发症的认识.
主要方法:
- 两名患者的病例报告呈现急性眼部症状,并怀疑COVID-19.
- 关于ICAD,眼部症状和COVID-19的文献审查.
- 诊断成像包括CT,MRA和CTA.
主要成果:
- 两名年轻,健康的男性患有ICAD,眼部有明显的症状 (视力丧失,).
- 一名患者确诊COVID-19;另一个患者有临床怀疑.
- 图像检查证实,这两种情况下,内动脉的剖析均为确诊.
结论:
- COVID-19可能会引发凝血病,导致诸如ICAD之类的血管事件.
- 内皮损伤是COVID-19引起的凝血病的拟议机制.
- 早期识别ICAD的眼部症状对于迅速管理和维护视力至关重要.
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