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弥漫性单侧亚急性神经视网膜炎患者眼内寄生虫的手术摘除

Surgical Removal of Intraocular Parasite in a Patient With Diffuse Unilateral Subacute Neuroretinitis.

作者信息

Kunkler Anne L, Patel Nimesh A, Scott Nathan L, Sridhar Jayanth, Vasconcelos-Santos Daniel Vitor, Albini Thomas A

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2020 Dec 1;51(12):733-735. doi: 10.3928/23258160-20201202-10.

DOI:10.3928/23258160-20201202-10
PMID:33339057
Abstract

Diffuse unilateral subacute neuroretinitis (DUSN) is a rare ocular infectious disease caused by migrating larvae of a nematode. DUSN is often a diagnostic challenge as it is difficult to identify the pathogenic nematode on funduscopic examination because it moves frequently and often resides within the subretinal space. Herein, the authors present a patient with unilateral, chronic visual loss who was noted to have a live, motile worm within the vitreous cavity. Initial attempts to treat with laser photocoagulation were unsuccessful. In the accompanying video, the authors report the first case of a live intraocular parasite successfully removed with pars plana vitrectomy.

摘要

弥漫性单侧亚急性神经视网膜炎(DUSN)是一种由线虫幼虫移行引起的罕见眼部感染性疾病。DUSN通常是一个诊断难题,因为在眼底检查中很难识别致病线虫,它频繁移动且常位于视网膜下间隙。在此,作者报告了一名单侧慢性视力丧失的患者,在玻璃体腔中发现了一条活的、可活动的蠕虫。最初尝试用激光光凝治疗未成功。在随附的视频中,作者报告了首例通过玻璃体切割术成功摘除活的眼内寄生虫的病例。

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