健康儿童的眼带状疱疹
Herpes zoster ophthalmicus in otherwise healthy children.
作者信息
De Freitas Denise, Martins Elisabeth N, Adan Consuelo, Alvarenga Lênio S, Pavan-Langston Deborah
机构信息
Department of Ophthalmology, Federal University of São Paulo, SP, Rua Botucatu, São Paulo, Brazil.
出版信息
Am J Ophthalmol. 2006 Sep;142(3):393-9. doi: 10.1016/j.ajo.2006.03.059.
PURPOSE
To evaluate the complications of herpes zoster ophthalmicus (HZO) in children.
DESIGN
Prospective-observational case series.
METHODS
Ten healthy patients (five boys, five girls) with HZO were prospectively followed. Data regarding best-corrected visual acuity, biomicroscopy, intraocular pressure, corneal sensitivity, and funduscopy were collected. The median duration of follow-up was 19 months (range eight to 78 months).
RESULTS
The mean age at presentation was 8.7 years (range two to 14 years +/-3.95). At last visit, two patients (20%) had decreased visual acuity and nine (90%) had some degree of abnormal corneal sensitivity and corneal opacity despite good final visual acuity.
CONCLUSION
In general, HZO seems to have a good prognosis in healthy children; nonetheless, some cases can present severe eye complications causing visual loss.
目的
评估儿童眼部带状疱疹（HZO）的并发症。
设计
前瞻性观察病例系列。
方法
对10例患有HZO的健康患者（5名男孩，5名女孩）进行前瞻性随访。收集有关最佳矫正视力、生物显微镜检查、眼压、角膜敏感性和眼底检查的数据。随访的中位持续时间为19个月（范围8至78个月）。
结果
就诊时的平均年龄为8.7岁（范围2至14岁±3.95）。在最后一次就诊时，2例患者（20%）视力下降，9例患者（90%）尽管最终视力良好，但仍有一定程度的角膜敏感性异常和角膜混浊。
结论
总体而言，HZO在健康儿童中似乎预后良好；尽管如此，一些病例可能会出现导致视力丧失的严重眼部并发症。
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