登革热病例报告:对于视网膜静脉封闭的红旗
Adriano Cypriano Faneli1, Pedro Fernandes Souza Neto1, Luciana Peixoto Finamor1
1Ophthalmology Department, Universidade Federal de São Paulo, São Paulo, Brazil.
AME case reports
|February 12, 2026
概括
登革热感染可能导致严重的眼睛问题,包括视网膜血管事件,如静脉封闭和神经纤维层缺血. 早期的眼科评估对于预防视力丧失至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 血管医学 血管医学
背景情况:
- 登革热是一种常见的树冠病毒性疾病,具有多种眼部表现.
- 视网膜血管封闭是罕见的,但登革热感染的已有记录的并发症.
- 机制可能包括血小板减少,毛细血管泄漏和炎症.
研究的目的:
- 报告一例与登革热相关的半网膜静脉封闭和对侧视网膜神经纤维层缺血病.
- 扩大对登革热眼部并发症的了解.
- 强调早期眼科检查对登革热患者的重要性.
主要方法:
- 一个67岁的男性患有血清学确认的登革热病例报告.
- 眼科检查包括光学连贯性断层扫描 (OCT).
- 用内抗VEGF注射进行治疗.
主要成果:
- 患者呈现出右眼突然视力丧失,诊断出登革热.
- 右眼显示斑点和视网膜出血.
- 左眼在OCT上表现出视网膜神经纤维层缺血.
结论:
- 这一案例证明了登革热和视网膜血管事件之间的联系.
- 及时识别和管理对于预防严重视力障碍至关重要.
- 强调需要对登革热患者进行例行眼科评估.
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