异形性角轨道炎症:临床特征和结果
Sonia Huang1, Jessica Y Tong1, Terence W Ang1
1South Australian Institute of Ophthalmology, The University of Adelaide and The Royal Adelaide Hospital, Adelaide, Australia.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|November 17, 2024
概括
异常性垂轨道炎症 (AOI) 是一种罕见的疾病,引起各种症状. 口服皮质类固醇有效地治疗了大多数患者,但对于严重或持续的病例需要进一步调查.
科学领域:
- 眼科医生 眼科 眼科
- 炎症性疾病 炎症性疾病
- 轨道上的障碍 轨道上的障碍
背景情况:
- 异常性尾轨道炎症 (AOI) 是一种罕见的疾病,其特征是后轨道炎症,没有明确的原因.
- 它的呈现方式非常可变,使得诊断和管理具有挑战性.
研究的目的:
- 描述异常性AOI患者的临床放射学特征和视觉结果.
- 评估不同治疗方式的有效性.
主要方法:
- 进行了回顾性的多中心病例系列.
- 这项研究包括7名被诊断患有异常性AOI的患者.
主要成果:
- 最常见的症状包括眼外运动受限,眼周疼痛和视力模糊.
- 视神经病变在42.9%的患者中存在.
- 虽然71.4%的患者对口服类固醇有反应,28.6%需要额外的免疫抑制.
结论:
- 异形性AOI是一种罕见的,可能会导致失明的疾病,表现不同.
- 口服皮质类固醇是主要治疗方法,但对于耐火病例可能需要轨道活检和免疫抑制剂.
相关概念视频
Endocarditis II: Clinical features and Diagnostic Tests
2
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
2
Glaucoma: Overview
508
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
508
Angle Closure Glaucoma: Treatment
438
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
438
Open Angle Glaucoma: Treatment
393
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
393
Pericarditis II: Clinical features and Diagnostic Tests
3
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
3
Myocarditis II: Clinical features and Diagnostic Tests
2
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
2


