与疹相关的视神经炎 Zoster Ophthalmicus:一个系统的审查和分析
Mahsa Pourmahdi-Boroujeni1,2, Bahareh Abtahi-Naeini3,4, Fereshte Rastegarnasab2
1Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran.
Ocular immunology and inflammation
|July 23, 2025
概括
与疹眼相关的视神经炎 (HZO-ON) 是一种罕见但严重的并发症. 早期诊断和用抗病毒药物和皮质类固醇治疗可以改善视觉结果.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 疹眼 (HZO) 是由水病毒 (VZV) 引起的.
- 视神经炎 (ON) 是视神经的炎症,可能导致视力丧失.
- 没有视网膜干扰的HZO相关的ON是一种罕见但视力危险的并发症.
研究的目的:
- 系统地审查和分析报告的与HZO相关的ON病例,而不涉及视网膜.
- 了解这种疾病的临床特征,诊断,治疗和结果.
主要方法:
- 通过PRISMA引导对在线数据库进行系统搜索.
- 包括病例报告和无视网膜干扰的HZO相关的ON系列.
- 数据被提取和分析,使用Joanna Briggs研究所的检查清单评估研究质量.
主要成果:
- 分析了32项包括38名患者的研究.
- 平均年龄为52.6岁;三分之一的人患有HIV或糖尿病等并发症.
- 大多数病例单方面呈现出视力模糊和眼睛疼痛;角膜炎是常见的.
- 虽然52.8%的人有轻度或没有损伤,但36.3%的人患有失明.
结论:
- 与HZO相关的ON是一种罕见但显著的视力威胁并发症.
- 及时诊断和适当的抗病毒和皮质类固醇治疗可以改善视觉预后.
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