西尼罗河病毒的眼睛表现
James P Dossett1, Christine I Clavell2, Ghassan Ghorayeb1
1West Virginia University, Department of Ophthalmology, Morgantown, West Virginia.
Current opinion in ophthalmology
|September 11, 2024
概括
西尼罗河病毒可能导致严重的眼睛问题,包括炎症和视力丧失. 使用先进的成像技术进行早期诊断对于有效的管理和改善视觉结果至关重要.
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:
- 在过去的二十年中,西尼罗病毒 (WNV) 越来越多地与眼部表现有关.
- 眼科参与WNV感染往往与严重的神经疾病有关.
研究的目的:
- 审查西尼罗病毒眼病的诊断,发病,临床表现,成像特征和管理.
- 突出眼科医生保持高指数怀疑眼睛参与系统性WNV感染的重要性.
主要方法:
- 文献综述总结了关于WNV眼科表现的既定知识.
- 讨论包括多式联络成像技术在内的诊断工具.
主要成果:
- 眼部WNV的症状在疾病的早期出现.
- 先进的成像方式,如光学连贯断层扫描 (OCT),OCT血管造影 (OCT-A), fundus自光 (FAF),光素血管造影 (FA) 和绿色血管造影 (ICGA) 对于诊断和管理是有价值的.
- 眼部的发现包括前额膜炎,视膜炎,视网膜炎,胆网膜炎和视神经病变.
结论:
- 西尼罗病毒感染可能导致眼部疾病的频谱与可变的视觉预后.
- 二次性并发症,如闭塞性血管炎和黄斑缺血,可以显著影响视觉结果.
- 多式成像在诊断和管理WNV相关的眼部疾病中起着关键作用.
- 对于患有严重系统性WNV疾病的患者来说,及时识别和管理至关重要.
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