在COVID-19之后的视神经头部变化:基于光学连贯性断层扫描血管造影的纵向研究
Mojtaba Abrishami1,2, Kiana Hassanpour3, Kia Bayat3
1Eye Research Center, Khatam-al-Anbia Eye Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
The Journal of international medical research
|July 31, 2024
概括
冠状病毒疾病2019 (COVID-19) 可能会改变光神经头部 (ONH) 血管密度 (VD) 在辐射周毛细血管 (RPC) 网络. 这些变化,特别是在小血管中,表明COVID-19影响ONH血管在康复后.
科学领域:
- 眼科医生 眼科 眼科
- 血管生物学 血管生物学
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒疾病2019 (COVID-19) 是一种全球性流行病,具有潜在的长期健康影响.
- 视神经头部 (ONH) 是视觉的关键结构,含有易受血管变化的密集毛细血管网络.
- 光学连贯断层扫描血管学 (OCTA) 允许对视网膜和视神经头部微血管的非侵入性评估.
研究的目的:
- 在轻微的COVID-19感染后,研究周血管密度 (VD) 的纵向变化.
- 用OCTA评估COVID-19对视神经头部微血管系统的影响.
主要方法:
- 对已确认轻度COVID-19的健康个体进行前性纵向观察性研究.
- 使用Optovue RTVue XR Avanti OCTA进行的视觉神经头部 (ONH) 影像成像.
- 在恢复后的1个月和3个月,在辐射周毛细血管 (RPC) 网络中评估血管密度 (VD).
主要成果:
- 在整体ONH参数中没有观察到任何显著变化.
- 在中华人民共和国,发现了小型船只VD增加的显著趋势,特别是在特定的周围细胞区域.
- 在RPC内的所有血管VD中发现了显著的变化,盘内减少,下部区域增加.
结论:
- COVID-19 感染可以影响视神经头部的辐射周毛细血管网络的血管密度.
- 这些发现凸显了COVID-19可能影响ONH血管的潜力,因此在临床评估中需要考虑.
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