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眼弓蛔虫病

Ocular toxocariasis.

作者信息

Arevalo J Fernando, Espinoza Juan V, Arevalo Fernando A

机构信息

Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

J Pediatr Ophthalmol Strabismus. 2013 Mar-Apr;50(2):76-86. doi: 10.3928/01913913-20120821-01. Epub 2012 Aug 28.

Abstract

Ocular toxocariasis is an uncommon worldwide parasitic infection that affects mostly children and is found in both rural and metropolitan areas. In many parts of the world, parasitic infections of the eye are a major cause of blindness. The diagnosis of toxocariasis is essentially clinical, based on the lesion morphology and supportive laboratory data such as serum enzyme-linked immunosorbent assay (ELISA) titers and ELISA Toxocara titers on aqueous humor; other diagnostic methods are imaging studies including optical coherence tomography, fluorescein angiography, computed tomography, and ocular ultrasound. Treatment is directed at complications arising from intraocular inflammation and vitreous membrane traction. Early vitrectomy may be of value both diagnostically and therapeutically.

摘要

眼弓蛔虫病是一种在全球范围内不常见的寄生虫感染病,主要影响儿童,在农村和大都市地区均有发现。在世界许多地区,眼部寄生虫感染是失明的主要原因。弓蛔虫病的诊断主要基于临床症状,依据病变形态以及血清酶联免疫吸附测定(ELISA)滴度和房水ELISA弓蛔虫滴度等支持性实验室数据;其他诊断方法包括光学相干断层扫描、荧光素血管造影、计算机断层扫描和眼部超声等影像学检查。治疗针对眼内炎症和玻璃体膜牵引引起的并发症。早期玻璃体切除术在诊断和治疗方面可能都有价值。

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