在过去的十年里,阿坎萨摩巴菌的角质炎. 我们学到了什么?
A Arnaiz-Camacho1, L Goterris Bonet2, L Bisbe Lopez1
1Servicio de Oftalmología, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Archivos de la Sociedad Espanola de Oftalmologia
|November 20, 2024
概括
在COVID-19大流行期间,与隐形眼镜使用相关的严重眼部感染 - - 阿坎萨摩巴角膜炎 (Acanthamoeba keratitis) 出现了诊断缺口. 用赫西丁和普罗巴米丁眼滴治疗在大多数患者中改善了视力.
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:
- 阿坎萨摩巴角膜炎 (AK) 是一种严重的角膜感染,有可能导致不可逆转的视力丧失.
- 越来越多的隐形眼镜使用与AK发病率的上升有关.
- 随着COVID-19大流行,传染病管理面临着独特的挑战.
研究的目的:
- 分析10年来AK的流行病学,临床表现,治疗和结果.
- 评估COVID-19大流行对AK诊断和管理的影响.
- 为AK提供各种表现和有效治疗方法的见解.
主要方法:
- 对13名AK患者的回顾性病例系列分析.
- 对临床数据,微生物学诊断和治疗反应的审查.
- 在流行病前,流行病前和流行病后期间的诊断趋势的比较.
主要成果:
- 在COVID-19大流行期间观察到AK的诊断差距.
- 所有患者都是隐形眼镜佩戴者;常见的初始误诊包括疹性角膜炎.
- 演讲包括伪状和环状透模式.
- 用0.02%的赫西丁和0.1%的普罗巴米丁眼滴治疗导致13例中的10例视力敏度得到改善.
结论:
- AK管理需要了解其多样化的临床表现.
- 大流行影响了AK诊断,突出了警的必要性.
- 结合赫西丁和普罗巴米丁疗法在改善AK患者的视觉结果方面表现出有效性.
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