轨道结核病表现为视力丧失和头痛:早期治疗至关重要
Sandeep Pal1, Narendra Patidar2, Gunjan Tomar1
1Department of Orbit and Oculoplasty, Sadguru Netra Chikitsalaya, Chitrakoot, India.
Journal of ophthalmic inflammation and infection
|October 14, 2024
概括
轨道结核病 (TB) 是一种罕见的视力丧失原因. 早期诊断和治疗至关重要,以防止这种非肺结核表现的不可逆转的视力损伤.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 轨道结核病 (TB) 是肺外结核病的一个不常见的表现.
- 它可以由血源性扩散或从相邻的鼻直接延伸而产生的.
- 轨道结核病可以导致严重的,视力威胁的并发症.
研究的目的:
- 报告两例轨道结核病病例,并出现视力威胁的并发症.
- 突出诊断挑战和延迟治疗的后果.
主要方法:
- 两名被诊断患有轨道结核病的患者的病例报告.
- 诊断成像包括对比度增强的MRI (CEMRI) 和对比度增强的CT (CECT).
- 治疗包括抗结核疗法 (ATT) 和口服类固醇.
主要成果:
- 两位患者都呈现出视力下降和眼睛疼痛.
- 图像检测显示了轨道顶部炎症病变和视神经/外眼肌肉胀.
- 由于最初的随访损失导致治疗延迟,这两种情况都导致了不可逆转的视力损失.
- 长期随访显示,眼部症状已经消失.
结论:
- 轨道结核需要及时诊断和管理.
- 延迟治疗可能会导致永久的视力丧失.
- 有效的抗结核治疗可以解决眼部症状.
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