在白内障手术后,疹角膜炎的复发
Laura E Drew-Bear1, Raul E Ruiz-Lozano2,3, Kevin Wang1
1Wilmer Eye Institute, Johns Hopkins University, 600 N Wolfe Street, Maumenee Building, Baltimore, MD, 21231, USA.
International ophthalmology
|February 7, 2025
概括
在白内障手术后疹眼病 (HED) 的复发很常见,特别是在两年内. 较长的静止期可能会降低风险,但需要更多关于预防的研究.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 疹性眼病 (HED) 是全球传染性视力丧失的重要原因.
- 白内障手术可以触发简单疹病毒 (HSV) 的重新激活,导致诸如疹角膜炎之类的并发症.
研究的目的:
- 评估关于HED和白内障手术之间的关联的证据.
- 为了确定风险因素,致病机制,以及手术后HED复激活的预防策略.
主要方法:
- 在多个数据库中进行了全面的文献搜索,截至2024年3月.
- 包括24项研究,调查白内障手术后HED发病或重新激活.
主要成果:
- 在白内障手术后,疹复发率很高 (约40%),主要是因为角膜炎.
- 复发通常会在两年内发生,并受到皮质类固醇,静止时间,先前的复发和并发症的影响.
- 目前支持外科手术期间HED预防的证据不足.
结论:
- 在白内障手术后的前两年,疹复发最频繁.
- 在手术前增加静止期可能会降低复发风险.
- 需要进一步的前性研究来评估外科手术期间预防的疗效.
关键词:
白内障手术是什么?白内障手术是什么?疹杆眼科医生 (Herpes zoster ophthalmicus) 已经成为一种常见的疾病.疹性眼病是一种眼睛疾病.疹性角质炎是一种疹性角质炎.疹性角膜炎是一种疹性角膜炎.再激活重新激活的方法更多相关视频
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