挽救视力在一个孩子的光感知视力由于急性视网膜亡继发疹简单病毒脑炎
Ngan-Ha Nguyen1,2, Peter McCluskey3, Minh-Phu Nguyen4
1The Department of Ophthalmology, Hanoi Medical University, Hanoi, Vietnam.
Journal of pediatric ophthalmology and strabismus
|September 26, 2025
概括
急性视网膜亡 (ARN) 可以迅速发展在儿童之后,简单疹脑炎 (HSE),即使有抗病毒治疗. 早期的医疗和手术干预对于在这些复杂的儿科病例中保持视力至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 病毒学 病毒学
- 儿科神经学 儿科神经学
背景情况:
- 简单疹病毒 (HSV) 感染可以影响中枢神经系统和眼睛,导致诸如简单疹脑炎 (HSE) 和急性视网膜亡 (ARN) 等疾病.
- ARN是一种严重的眼部疾病,可能导致视力丧失,其在HSE后发生,即使在治疗中也是一个重大的临床问题.
研究的目的:
- 报告一个儿科患者在HSE后尽管接受了全身抗病毒疗法,但却发展出RNA的病例.
- 突出 HSE 患者眼科监测的重要性以及 ARN 联合医疗和手术治疗的有效性.
主要方法:
- 一名13岁的男孩确诊了HSE,他的左眼部出现了RNA.
- 通过PCR在玻璃体液中检测HSV-1证实了RNA的诊断.
- 治疗包括静脉内抗病毒药物,帕斯普拉纳玻璃切除术与油坦波尼德,激光视网膜术,白内障提取和油切除.
主要成果:
- 患者出现视力丧失 (光感知),视炎,视网膜衰老和脱落.
- 在治疗后,视网膜重新连接,视敏度从光感知改善到20/200,并在随后的手术后进一步提高到20/80.
- 该案例表明,尽管有严重的眼部并发症,视力恢复的潜力仍然存在.
结论:
- 像RNA这样的眼部并发症可以在从HSE恢复的儿童中迅速表现出来,需要警的眼科监测.
- 早期和积极的联合医疗和外科干预可以在患有视网膜脱落的儿科RNA中带来有利的视觉结果.
- 这个案例有助于理解儿童的HSE-RNA联系,并强调及时管理以保护视力.
相关概念视频
01:22Photoreceptors and Visual Pathways
8.8K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
8.8K
01:28Angle Closure Glaucoma: Treatment
1.2K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.2K