Department of Ophthalmology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Department of Viroscience, Erasmus University Medical Center, Rotterdam, the Netherlands.
Ocul Immunol Inflamm. 2020;28(1):126-132. doi: 10.1080/09273948.2018.1543709. Epub 2018 Nov 13.
: To determine characteristics of patients with laboratory findings indicative of intraocular Epstein-Barr-virus (EBV) infection and to establish the usefulness of the laboratory analysis in patients with uveitis.: Retrospective study of patients who underwent diagnostic aqueous fluid analysis. Diverse demographic data of patients were registered.: EBV-PCR tested positive in 3/201 (1%) and EBV-GWC in 22/245 (9%). The prevalence of immunosuppression was similar in EBV positive (by PCR/GWC) and EBV negative patients (7/25; 28% vs. 50/272;18%, = 0.29). Out of all 22 EBV-GWC positive patients, GWC was between 3 and 10 in 91%. In total, 14 patients had laboratory results indicating only EBV infection. Patients without an alternative explanation for uveitis (6/14; 43%) had a chronic recurrent course and good visual prognosis.: Low EBV-GWC values combined with multiple positive GWC and/or PCR for other infectious agents. Intraocular assessment for EBV in the initial examination of uveitis patients has limited value.
确定实验室检查结果提示眼内 Epstein-Barr 病毒(EBV)感染特征,并评估实验室分析在葡萄膜炎患者中的应用价值。
对接受诊断性房水分析的患者进行回顾性研究,记录患者的各种人口统计学数据。
201 例患者中 EBV-PCR 阳性 3 例(1%),EBV-GWC 阳性 22 例(9%)。EBV 阳性(PCR/GWC)和 EBV 阴性患者的免疫抑制患病率相似(7/25;28%比 50/272;18%, = 0.29)。在所有 22 例 EBV-GWC 阳性患者中,91%的患者 GWC 值在 3 到 10 之间。共有 14 例患者的实验室结果仅提示 EBV 感染。对于无葡萄膜炎其他病因解释的患者(6/14;43%),疾病呈慢性复发性病程,视力预后良好。
低 EBV-GWC 值结合多个阳性 GWC 和/或其他感染性病原体的 PCR 检测结果,提示 EBV 感染。在葡萄膜炎患者的初始检查中,眼内 EBV 评估的价值有限。