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弥漫性单侧亚急性神经视网膜炎

Diffuse unilateral subacute neuroretinitis.

作者信息

Arevalo J Fernando, Arevalo Fernando A, Garcia Reinaldo A, de Amorim Garcia Filho Carlos Alexandre, de Amorim Garcia Carlos Alexandre

机构信息

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

出版信息

J Pediatr Ophthalmol Strabismus. 2013 Jul-Aug;50(4):204-12. doi: 10.3928/01913913-20121211-03. Epub 2012 Dec 18.

Abstract

Diffuse unilateral subacute neuroretinitis (DUSN) is a usually unilateral inflammatory disease characterized by an insidious, usually severe loss of peripheral and central vision. Clinical characteristics are manifested in early and late stages. Parasites of different sizes and several species of nematodes have been reported as the etiology of DUSN without conclusive evidence about the specific agent. Because serologic testing has been variable, the definitive diagnosis is made when the clinical characteristics of DUSN are found in conjunction with an intraocular worm. Laser photocoagulation, pars plana vitrectomy, thiabendazole, and albendazole have been used to treat DUSN with variable success.

摘要

弥漫性单侧亚急性神经视网膜炎(DUSN)是一种通常为单侧的炎症性疾病,其特征为隐匿性发作,通常伴有严重的周边和中心视力丧失。临床特征在疾病早期和晚期均有表现。不同大小的寄生虫和几种线虫被报道为DUSN的病因,但尚无关于具体病原体的确凿证据。由于血清学检测结果不一,当DUSN的临床特征与眼内蠕虫同时出现时,才能做出明确诊断。激光光凝术、玻璃体切割术、噻苯达唑和阿苯达唑已被用于治疗DUSN,但疗效各异。

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