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本文引用的文献

1
Ophthalmologic complications in children with chronic hepatitis C treated with pegylated interferon.聚乙二醇干扰素治疗慢性丙型肝炎儿童的眼科并发症。
J Pediatr Gastroenterol Nutr. 2010 Aug;51(2):183-6. doi: 10.1097/MPG.0b013e3181b99cf0.
2
Cystoid macular edema and visual loss as sequelae to interferon alpha treatment of systemic hepatitis C.结节性黄斑水肿和视力丧失是全身丙型肝炎干扰素 α 治疗的后遗症。
Indian J Ophthalmol. 2010 Mar-Apr;58(2):147-8. doi: 10.4103/0301-4738.60088.
3
Retinopathy in hepatitis C patients due to combination therapy with pegylated interferon and ribavirin.聚乙二醇干扰素联合利巴韦林治疗丙型肝炎患者的视网膜病变。
Jpn J Ophthalmol. 2009 Nov;53(6):598-602. doi: 10.1007/s10384-009-0738-8. Epub 2009 Dec 18.
4
Pegylated-interferon-associated retinopathy in chronic hepatitis patients.聚乙二醇干扰素相关的慢性肝炎患者的视网膜病变。
Ophthalmologica. 2010;224(4):224-9. doi: 10.1159/000260228. Epub 2009 Nov 24.
5
Epidemiology of hepatitis C virus infection in Pakistan.巴基斯坦丙型肝炎病毒感染的流行病学
J Microbiol Immunol Infect. 2008 Feb;41(1):4-8.
6
Interferon associated retinopathy.干扰素相关性视网膜病变
J Pak Med Assoc. 2008 Jan;58(1):48-9.
7
Risk factors for retinopathy associated with interferon alpha-2b and ribavirin combination therapy in patients with chronic hepatitis C.慢性丙型肝炎患者中与干扰素α-2b和利巴韦林联合治疗相关的视网膜病变的危险因素。
World J Gastroenterol. 2006 Jun 21;12(23):3756-9. doi: 10.3748/wjg.v12.i23.3756.
8
[Retinopathy in a patient with hepatitis C treated with pegylated interferon and ribavirin: case report].[聚乙二醇干扰素和利巴韦林治疗丙型肝炎患者出现的视网膜病变:病例报告]
Arq Bras Oftalmol. 2006 Mar-Apr;69(2):255-9. doi: 10.1590/s0004-27492006000200022. Epub 2006 May 8.
9
Is screening for interferon retinopathy in hepatitis C justified?丙型肝炎中干扰素视网膜病变的筛查是否合理?
Br J Ophthalmol. 2004 Dec;88(12):1518-20. doi: 10.1136/bjo.2004.043968.
10
Posterior segment complications in patients with hepatitis C treated with interferon and ribavirin.接受干扰素和利巴韦林治疗的丙型肝炎患者的后段并发症
Ophthalmology. 2003 Feb;110(2):437-42. doi: 10.1016/S0161-6420(02)01741-4.

接受聚乙二醇化干扰素α-2a与利巴韦林联合治疗的慢性丙型肝炎患者视网膜病变的发生率

Incidence of retinopathy in chronic hepatitis C patients treated with pegylated interferon alpha 2a and ribavirin combination therapy.

作者信息

Kashif Muhammad, Saleem Muhammad Khurram, Farooka Imran Khan, Husnain Amina, Siddiqui Arif Mahmood

机构信息

Dr. Muhammad Khurram Saleem, Assistant Professor of Medicine, CMH Lahore Medical College, Combined Military Hospital Lahore, Pakistan.

Dr. Imran Khan Farooka, Senior Registrar Medicine, Medical Unit II, Jinnah Hospital Lahore, Pakistan.

出版信息

Pak J Med Sci. 2015 Jan-Feb;31(1):174-7. doi: 10.12669/pjms.311.6321.

DOI:10.12669/pjms.311.6321
PMID:25878638
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4386181/
Abstract

OBJECTIVES

The objective of this study was to determine the incidence of retinopathy in chronic hepatitis C patients treated with Pegylated interferon alpha 2a and Ribavirin.

METHODS

This descriptive case series study was conducted in Medical Unit II of the Jinnah Hospital Lahore from September 2012 to February 2013. One hundred chronic hepatitis C patients visiting Medical Unit II outpatient department fulfilling inclusion criteria were selected for this study via non probability purposive sampling. Patients were started on pegylated interferon and ribavirin combination therapy. Subjects were subjected to dilated eye fundoscopic examination at the start of therapy and then after three months of the therapy.

RESULTS

One hundred patients were included in this study. Out of these 100 patients 5% developed retinopathy whereas fundus examination was normal in rest of the patients.

CONCLUSION

Interferon therapy can lead to retinopathy. Periodic fundoscopic examinations help in early detection and prevent progression to permanent visual loss.

摘要

目的

本研究的目的是确定接受聚乙二醇化干扰素α-2a和利巴韦林治疗的慢性丙型肝炎患者视网膜病变的发生率。

方法

本描述性病例系列研究于2012年9月至2013年2月在拉合尔真纳医院第二内科进行。通过非概率目的抽样,选择了100名符合纳入标准且前往第二内科门诊就诊的慢性丙型肝炎患者进行本研究。患者开始接受聚乙二醇化干扰素和利巴韦林联合治疗。在治疗开始时以及治疗三个月后,对受试者进行散瞳眼底镜检查。

结果

本研究纳入了100名患者。在这100名患者中,5%出现了视网膜病变,而其余患者的眼底检查正常。

结论

干扰素治疗可导致视网膜病变。定期眼底镜检查有助于早期发现并防止进展为永久性视力丧失。