呈现特征,治疗和视觉结果在链球菌与非链球菌内炎相比
Richmond Woodward1, Regina De Luna2, Cason B Robbins1
1Department of Ophthalmology, Duke University School of Medicine, Durham, USA.
Cureus
|August 5, 2024
概括
尽管罕见,但Streptococcus endophthalmitis会导致比非Streptococcus感染的视觉结果更差. 及时识别和考虑先前的玻璃眼瘤手术对于管理这种严重的眼睛疾病至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 外源性内眼炎是一种严重的眼内感染.
- 链球菌种不常见,但是内甲状腺炎的重要原因.
- 了解特定细菌对视觉结果的影响对于治疗至关重要.
研究的目的:
- 为了比较临床发现,风险因素,治疗和Streptococcus endophthalmitis与非Streptococcus物种的视觉结果.
- 确定这些群体之间的表现和预后的关键差异.
主要方法:
- 对成年患有培养阳性外源性内耳炎患者 (2009-2018) 的回顾性图表综述.
- 纳入标准:18-89岁,至少6个月的随访时间.
- 收集的数据:人口统计,眼病史,视力敏度 (VA),表现发现,病因学,管理和六个月的VA.
主要成果:
- 分析了18只带有链球菌的眼睛和38只带有非链球菌内炎的眼睛.
- 链球菌病例呈现出更高的眼内压力 (IOP) 和明显更差的视力敏度 (VA) 在呈现和六个月.
- 在两组患者中,在对玻璃眼瘤进行手术后,甚至在几年前也观察到更长的呈现时间.
结论:
- 链球菌是异源性内耳炎的罕见但至关重要的原因,与较差的视觉结果有关.
- 眼睛瘤手术的病史是需要考虑的重要因素,在出现眼睛症状的患者中.
- 早期识别和适当的管理对于改善内炎的视觉预后至关重要.
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