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流行性视网膜炎。

Epidemic Retinitis.

机构信息

a Department of Uveitis and Ocular Immunology , Narayana Nethralaya Eye Hospital , Bangalore , India.

b Department of Retina , Narayana Nethralaya Eye Hospital , Bangalore , India.

出版信息

Ocul Immunol Inflamm. 2019;27(4):571-577. doi: 10.1080/09273948.2017.1421670. Epub 2018 Jan 25.

DOI:10.1080/09273948.2017.1421670
PMID:29370564
Abstract

: To study demography, seasonal variation, clinical presentation, and treatment outcome of "retinitis post febrile illness." (RpFI) : Case records of patients diagnosed as RpFI, from July 2009 to May 2017 were studied retrospectively. Patients with complete follow up were evaluated for treatment and visual outcomes. : Two hundred and five eyes of 119 patients were studied. The peak incidence of RpFI was from November to March each year. Diagnosis of fever largely remained unknown. Chikungunya IgM, Dengue IgM, and Weil-Felix test was positive in 22.22%, 15.38%, and 39.75%, respectively, in investigated cases. The mean visual acuity at presentation and at resolution was 20/63 and 20/32, respectively, in 122 eyes with complete follow up. : We suggest a term "Epidemic Retinitis" for RpFI due to its seasonal variation and to differentiate it from other sporadic forms of retinitis. Although RpFI has aggressive presentation, it resolves over 3-4 months and the overall visual outcome is satisfactory.

摘要

研究“发热后视网膜病变”(RpFI)的人口统计学、季节性变化、临床表现和治疗结果:回顾性研究了 2009 年 7 月至 2017 年 5 月期间被诊断为 RpFI 的患者的病例记录。对有完整随访的患者进行了治疗和视力结果评估。:研究了 119 例患者的 205 只眼。RpFI 的发病高峰在每年的 11 月至 3 月。发热的病因在很大程度上仍然未知。在调查病例中,22.22%、15.38%和 39.75%的患者分别出现了基孔肯雅 IgM、登革热 IgM 和魏尔菲尔特试验阳性。在 122 只具有完整随访的眼中,就诊时和痊愈时的平均视力分别为 20/63 和 20/32。:我们建议用“流行视网膜病变”这个术语来表示 RpFI,因为它具有季节性变化,并与其他散发性形式的视网膜病变相区别。尽管 RpFI 表现具有侵袭性,但它会在 3-4 个月内消退,整体视力预后良好。

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