Darougar S, Monnickendam M A, Woodland R M
Section of Virology, Institute of Ophthalmology, London, England.
Crit Rev Microbiol. 1989;16(5):369-418. doi: 10.3109/10408418909104473.
A majority of cases of preventable and/or curable ocular morbidity and blindness are caused by ocular infections. They may account for 70 to 90% of all ocular morbidity seen by family doctors, general practitioners, health centers, and local ophthalmologists in both developed and developing countries. Unfortunately, most health authorities and doctors, including ophthalmologists, consider these diseases to be of little or no importance because they are not fully aware of the high prevalence of these infections and the blinding sequelae which may occur following incorrect diagnosis and treatment. Also, they are not aware of the social and economic impact of these infections in the absence of proper management and implementation of preventive measures. In this review, we examine present knowledge of chlamydial and common viral ocular infections. We discuss the problems of diagnosis, management, and prevention and propose solutions relevant to developed and developing countries.
大多数可预防和/或可治愈的眼部疾病和失明病例是由眼部感染引起的。在发达国家和发展中国家,家庭医生、全科医生、健康中心及当地眼科医生所诊治的所有眼部疾病中,眼部感染可能占70%至90%。不幸的是,包括眼科医生在内的大多数卫生当局和医生认为这些疾病不太重要或根本不重要,因为他们没有充分意识到这些感染的高发病率以及不正确诊断和治疗后可能出现的致盲后遗症。此外,他们没有意识到在缺乏适当管理和预防措施实施的情况下,这些感染对社会和经济的影响。在本综述中,我们研究了衣原体和常见病毒性眼部感染的现有知识。我们讨论了诊断、管理和预防方面的问题,并针对发达国家和发展中国家提出了解决方案。