COVID-19 的眼睛表现
Hannah W Ng1, Daniel A R Scott1, Helen V Danesh-Meyer1
1Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, NZ, New Zealand.
Progress in retinal and eye research
|June 26, 2024
概括
COVID-19 (冠状病毒疾病2019) 可以通过免疫反应,高凝血状态或二次感染引起各种眼睛疾病. 了解这些眼部表现对于及时诊断和管理可能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
- 免疫学 免疫学 免疫学
背景情况:
- 越来越多的证据将COVID-19 (冠状病毒病2019) 与多种可能严重的眼病联系起来.
- 最初的研究主要由病例报告组成,需要进一步调查因果关系和长期影响.
- 世界卫生组织宣布COVID-19不再是全球卫生紧急情况,但不断增加的病例和再感染突显了持续的风险,包括具有眼部影响的慢性后果.
研究的目的:
- 审查和综合当前关于与COVID-19相关的眼部表现的文献.
- 探索COVID-19相关眼睛疾病的拟议机制,风险因素和临床红旗.
- 强调认识到这些症状对于适当的患者分拣和管理的重要性.
主要方法:
- 系统审查现有文献,包括案例报告和系列.
- 对拟议的病理生理机制的分析.
- 讨论相关的并发症和风险因素.
主要成果:
- COVID-19的眼部表现归因于三个主要机制:免疫反应失调,高凝血状态和严重病例中二次感染风险增加.
- 报道的眼部疾病包括结膜炎,眼膜炎,视网膜血管闭塞,视神经病变,绿斑和轨道并发症.
- 严重的COVID-19增加了内炎和犀牛轨道粘膜病的风险.
结论:
- COVID-19 呈现了一系列需要临床警的眼部并发症.
- 及时的面对面检查对于管理视力威胁的疾病至关重要,即使是远程医疗的兴起.
- 持续的研究对于充分了解COVID-19感染和再感染的长期眼睛影响至关重要.
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