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分析一家三级转诊中心所见眼囊尾蚴病的临床特征、检查和治疗。

Analysis of Clinical Profile, Investigation, and Management of Ocular Cysticercosis Seen at a Tertiary Referral Centre.

机构信息

a Uvea and Ocular Pathology , Medical Research Foundation , Nungambakkam, Chennai , India.

b Sankara Nethralya, Uvea , Medical Research Foundation , Nungambakkam, Chennai , India.

出版信息

Ocul Immunol Inflamm. 2018;26(4):550-557. doi: 10.1080/09273948.2017.1413395. Epub 2018 Jan 8.

DOI:10.1080/09273948.2017.1413395
PMID:29308965
Abstract

AIM

To analyze the demographic profile, clinical presentation, diagnosis, management, and outcome of ocular cysticercosis (OC) seen at a tertiary referral center.

DESIGN

Retrospective case series.

MATERIAL AND METHODS

Records of patients with diagnosis of OC from January 2000 to September 2015 were retrieved and the data was analyzed.

RESULTS

102 eyes of OC were seen. 72(71%) eyes had extraocular cysticercosis (EC) and 30(29%) eyes had intraocular cysticercosis (IC). EC was located in the orbit in 69/72 (96%) eyes. Symptoms of extraocular cysticercosis were restriction of ocular movement in 33 eyes (46%). IC was located in vitreous 17 eyes (57%). Symptom of IC was drop in vision in 26/30 eyes (87%). EC was managed medically with albendazole and steroid. Surgical excision was done for IC.

CONCLUSION

EC was more common than IC. Prompt and appropriate management of OC results in good visual outcome.

摘要

目的

分析在一家三级转诊中心就诊的眼囊尾蚴病(OC)的人口统计学特征、临床表现、诊断、治疗和结局。

设计

回顾性病例系列研究。

材料和方法

检索了 2000 年 1 月至 2015 年 9 月诊断为 OC 的患者的记录,并对数据进行了分析。

结果

共观察到 102 只眼 OC。72 只眼(71%)有眼外囊尾蚴病(EC),30 只眼(29%)有眼内囊尾蚴病(IC)。EC 位于 69/72 只眼(96%)的眼眶内。33 只眼(46%)的眼外囊尾蚴病出现眼球运动受限的症状。IC 位于玻璃体 17 只眼(57%)。26/30 只眼(87%)的 IC 症状为视力下降。EC 采用阿苯达唑和类固醇进行药物治疗。IC 采用手术切除。

结论

EC 比 IC 更常见。OC 的及时和适当治疗可获得良好的视力结局。

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