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新型冠状病毒感染相关眼底病变的特征分析及其诊治思考

Characteristics,diagnosis and treatment of ocular fundus diseases associated with COVID-19
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摘要 新型冠状病毒感染(COVID-19)在导致呼吸系统等多器官病变的同时,会引起眼底病变,危害视功能。COVID-19相关眼底病变的发生与视网膜毛细血管缺血、血栓形成以及免疫炎症反应有关。COVID-19相关眼底病变的类型主要包括棉绒斑与视网膜微出血、视网膜血管阻塞、急性旁中心中层黄斑病变、急性黄斑神经视网膜病变、葡萄膜炎以及内源性眼内炎。现根据文献报道及临床观察实践,总结分析COVID-19相关眼底病变的临床特征,同时分享对其诊断与治疗的一些思考。 The COVID-19 causes multiple organ dysfunction such as respiratory system,meanwhile it causes ocular fundus diseases threatening visual function/The occurrence of COVID-19 related fundus diseases is associated with retinal capillary ischemia,thrombosis,and immune inflammatory response.COVID-19 related fundus diseases mainly include cotton wool spots and microhaemorrhages,retinal vascular occlusion,paracentral acute middle maculopathy,acute macular neuroretinopathy,uveitis,and endogenous endophthalmitis.We will summarize the clinical characteristics of COVID-19 related fundus diseases based on literature reports and clinical practice,and share some thoughts on its diagnosis and treatment.
作者 徐格致 庄宏 Xu Gezhi;Zhuang Hong(Department of Ophthalmology,Shanghai Eye&ENT Hospital of Fudan University,Shanghai Key Laboratory of Visual Impairment and Reconstruction,Shanghai 200031,China)
出处 《中华眼底病杂志》 CAS CSCD 北大核心 2023年第9期715-719,共5页 Chinese Journal of Ocular Fundus Diseases
关键词 新型冠状病毒感染 眼底病变 急性黄斑神经视网膜病变 葡萄膜炎 述评 COVID-19 Ocular fundus diseases Acute macular neuroretinopath yU veitis Editorial
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