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[眼部结核病]

[Ocular tuberculosis].

作者信息

Puzyreva L V, Safonov A D, Lebedev O I, Mordyk A V

机构信息

Omsk State Medical Academy, 12 Lenin St., Omsk, Russian Federation, 644099.

出版信息

Vestn Oftalmol. 2016;132(3):103-107. doi: 10.17116/oftalma20161323103-107.

Abstract

Ocular tuberculosis (OTB) is a specific infectious (bacterial) disease dealt with by ophthalmologists and phthisiatricians. This is a serious illness with chronic, persistent course and extremely doubtful prognosis. Chemotherapy, even if effective, can still be followed by a decrease in visual acuity. Clinical recovery is often unstable. Ocular tuberculosis is largely associated with permanent disability and, as a result, a decline in quality of life of these patients. Statistical reporting does not always reflect the true prevalence of the disease as it sometimes develops in patients with pre-existing specific pulmonary involvement. This article discusses all pathogenetic mechanisms of OTB that have been described so far. Attention is paid to modern diagnostic methods, including spectral optical coherence tomography. Positive results of endonasal electrophoresis for the treatment of OTB are described.

摘要

眼部结核病(OTB)是一种由眼科医生和结核病医生处理的特定传染性(细菌性)疾病。这是一种严重的疾病,病程慢性、持续,预后极难确定。化疗即使有效,仍可能导致视力下降。临床恢复往往不稳定。眼部结核病很大程度上与永久性残疾相关,因此这些患者的生活质量会下降。统计报告并不总能反映该疾病的真实患病率,因为它有时会在已有特定肺部病变的患者中发生。本文讨论了迄今为止所描述的眼部结核病的所有发病机制。重点关注现代诊断方法,包括光谱光学相干断层扫描。描述了鼻内电泳治疗眼部结核病的阳性结果。

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