关于新型冠状病毒引起的2例黄斑损伤的案例系列:一个案例报告
Yong Guo1, Chenjun Guo2, Yan Li1
1Xi'an BRIGHT Eye Hospital Group Co Ltd. Xi'an, Shaanxi, China.
Medicine
|January 20, 2025
概括
冠状病毒疾病2019 (COVID-19) 可能导致罕见的黄斑损伤. 早期的皮质类固醇治疗可能会改善视力,但长期监测对于COVID-19患者具有眼睛并发症至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 视网膜成像 视网膜成像
背景情况:
- 黄斑损伤是COVID-19感染后的罕见但严重的眼睛并发症.
- 本报告详细介绍了COVID-19相关的两个黄斑损伤病例,探讨了其临床表现,诊断和管理.
研究的目的:
- 研究COVID-19患者的临床特征,诊断结果,治疗策略和黄斑损伤的结果.
- 为了解这种罕见并发症的病理生理学和有效管理做出贡献.
主要方法:
- 研究了两名近期COVID-19感染的患者,他们出现了突然的视力障碍和中央视瘤.
- 诊断工具包括光学连贯断层扫描 (OCT) 和 fundus 摄影.
- 治疗包括全身性皮质类固醇治疗 (口服普雷迪尼松酸盐).
主要成果:
- 一名15岁的男性患者被诊断出患有急性黄斑神经网膜病变,在服用皮质类固醇5天后,视力敏度显著改善,尽管圆形区域的干扰仍然存在.
- 第二名患者是一名28岁的女性,在接受皮质类固醇治疗3天后,出现了更广泛的黄斑病变,并且经历了部分视力改善,残留异常.
- 在这两种情况下,OCT成像证实了最初的黄斑病变和治疗后的变化.
结论:
- COVID-19相关的黄斑损伤可能涉及炎症和血管路径.
- 及时的全身性皮质类固醇剂可以提供症状缓解和部分视力恢复.
- 长期随访是必要的,以监测受影响个体的持续或渐进的视网膜损伤.
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