由于光疗切割术后的痕造成的视力下降
Rudy M M A Nuijts1, Robin C I Ollivier, Simona Schlereth
1The Netherlands.
Journal of cataract and refractive surgery
|September 24, 2024
概括
一名木匠在接种了第四次COVID-19疫苗后突然失明. 尽管进行了广泛的测试,但原因仍然不清楚,这影响了他的工作能力.
科学领域:
- 眼科医生 眼科 眼科
- 角膜疾病 角膜疾病
- 疫苗接种后并发症 疫苗接种后并发症
背景情况:
- 一名36岁的木匠在COVID-19疫苗接种后出现了急性双边视力下降.
- 他曾经患有前底层膜缩和左眼的光疗切除术 (PTK).
- 其他专家之前的评估并不显著,只注意到轻微的尾化.
研究的目的:
- 为了调查COVID-19疫苗接种后患有角膜缩病史的患者突然视力丧失的原因.
- 评估眼睛当前的状况,并建议适当的管理.
主要方法:
- 裂灯检查显示右眼前底膜缩以及左眼中部角膜痕显著.
- 角膜拓评估了纹和厚度.
- 视觉敏度,明显折射和希尔默撕裂测试进行.
- 进行了透镜,电生理学测试和光学连贯性断层扫描 (OCT).
主要成果:
- 距离校正视力敏度为20/80 (右眼) 和20/200 (左眼).
- 显著的正规角膜标症 (3.3 D右,5.5 D左) 被注意到.
- 在右眼的带隐形眼镜试验后出现的角膜透.
结论:
- 患者的视力障碍显著影响他的职业.
- 进一步调查视力丧失的原因和适当的治疗策略是有必要的.
- 在预先存在的角膜疾病的背景下,COVID-19疫苗接种的作用需要考虑.
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