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眼部带状疱疹的前段并发症。

Anterior segment complications of herpes zoster ophthalmicus.

作者信息

Kaufman Stephen C

机构信息

Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota 55455, USA.

出版信息

Ophthalmology. 2008 Feb;115(2 Suppl):S24-32. doi: 10.1016/j.ophtha.2007.10.010.

Abstract

TOPIC

The clinical features and management strategies for varicella-zoster virus (VZV) infections of the cornea, lids, and adnexa.

CLINICAL RELEVANCE

Herpes zoster ophthalmicus (HZO) can result in a myriad of chronic and recurrent complications that may be sight threatening. Surgical intervention is the mainstay of treatment, and advancements in this area may lessen the complications of HZO if correctly implemented.

METHODS

Literature review of pertinent topics, authors, and journals utilizing the National Institutes of Health PubMed service.

RESULTS

A higher rate of treatment success for VZV-related complications was obtained when any preexisting ocular inflammation, increased intraocular pressure, lagophthalmos, dry eye, exposure, or neurotrophic keratitis was treated and under control before attempting ocular surgery.

CONCLUSION

Options are available to manage ophthalmic complications of HZO and reduce the risk of treatment failure.

摘要

主题

角膜、眼睑及附属器水痘-带状疱疹病毒(VZV)感染的临床特征及管理策略

临床意义

眼部带状疱疹(HZO)可导致众多慢性和复发性并发症,可能威胁视力。手术干预是主要治疗手段,若正确实施,该领域的进展可能会减少HZO的并发症。

方法

利用美国国立医学图书馆的PubMed服务对相关主题、作者和期刊进行文献综述。

结果

在尝试眼部手术前,若对任何已存在的眼部炎症、眼压升高、兔眼、干眼、暴露或神经营养性角膜炎进行治疗并控制,VZV相关并发症的治疗成功率会更高。

结论

有多种方法可处理HZO的眼科并发症并降低治疗失败风险。

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