患有内源性内的患者的临床表现和结果
Serife Ciloglu Hayat1, Yusuf Cem Yilmaz2, Serhat Ermis2
1Department of Ophthalmology, Basaksehir Cam and Sakura City Hospital, Başakşehir Olympic Boulevard Road, 34480, Başakşehir, Istanbul, Turkey. serifeciloglu@gmail.com.
International ophthalmology
|January 22, 2025
概括
内源性内眼炎 (EE) 通常导致视力低下和死亡率. 免疫抑制药物的使用显著降低了EE患者的眼睛保存率,突出显示了需要警护理的需要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
背景情况:
- 内源性内眼炎 (EE) 是一种严重的眼内感染.
- 了解EE的临床范围对于有效管理至关重要.
研究的目的:
- 评估EE患者的临床特征,风险因素和微生物学发现.
- 在EE中评估视觉结果,患者存活率和眼睛保存.
- 为了确定内源性内炎中预后不佳的预测因素.
主要方法:
- 对21名EE患者的29只眼睛进行了回顾性研究.
- 对临床数据,微生物培养 (血液和玻璃体) 和视觉敏度的分析.
- 卡普兰-梅尔生存分析,包括免疫抑制剂的影响.
主要成果:
- 常见的诱导因素包括糖尿病和尿路感染.
- 细菌感染占主导地位; 阳性血液和玻璃体培养是常见的.
- 终端视敏度的中位数很差 (2 LogMAR);免疫抑制剂的使用与较低的眼睛保护相关.
结论:
- 一般来说,EE的视觉预后很差,并带有死亡风险.
- 最初的视力敏度和严重的炎症预示着更糟糕的结果.
- 免疫抑制疗法对全球生存率产生负面影响,需要迅速干预.
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