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[眼部弓形虫病的激光治疗]

[Laser therapy of ocular toxoplasmosis].

作者信息

Andrzejewska W, Karczewicz D, Puchalska-Niedbał L, Sylwestrzak Z, Palacz O

机构信息

I Kliniki Okulistycznej.

出版信息

Klin Oczna. 1991 Oct-Nov;93(10-11):312-4.

PMID:1821020
Abstract

The authors present the results of treatment by laser coagulation of inflammatory retino-choroidal foci in 32 persons with ocular toxoplasmosis. The diagnosis of Toxoplasma etiology was set on a basis of positive immunological reaction for Toxoplasma gondii antigen and after exclusion of other etiological factors. Among 42 eyes stabilization of the process after 1 intervention was observed in 34, i.e. in 89 p.c. (period of observation--up to 4 years). In the following 8 eyes arised the necessity to perform additional coagulations because of formation of fresh foci which appeared in 5 eyes after 6 months, in 2 eyes after 1 year and in 1 eye after 2 years since onset. The authors consider the application of laser coagulation in ocular toxoplasmosis as a favourable method together--or independently--with pharmacological treatment.

摘要

作者介绍了对32例眼弓形虫病患者炎性视网膜脉络膜病灶进行激光凝固治疗的结果。弓形虫病因的诊断基于对弓形虫抗原的阳性免疫反应,并排除其他病因因素后确定。在42只眼中,34只眼(即89%)在1次干预后病情得到稳定(观察期长达4年)。在接下来的8只眼中,由于出现新病灶而需要进行额外的凝固治疗,其中5只眼在发病后6个月出现新病灶,2只眼在1年后出现,1只眼在2年后出现。作者认为,在眼弓形虫病中应用激光凝固治疗,与药物治疗联合或单独使用,都是一种有效的方法。

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