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COVID-19 相关的前葡萄膜炎继发眼高压,为全身炎症反应综合征的一部分。

COVID-19-related Ocular Hypertension Secondary to Anterior Uveitis as Part of a Multisystemic Inflammatory Syndrome.

机构信息

Department of Ophthalmology, Antonio Pedro University Hospital, Fluminense Federal University.

Contraprova Diagnósticos.

出版信息

J Glaucoma. 2021 May 1;30(5):e256-e258. doi: 10.1097/IJG.0000000000001835.

Abstract

It is the consensus of the medical community that ocular complications associated with Coronavirus Disease 2019 (COVID-19) are mild, self-limiting, and there are no reports to date of a sight-threatening event. We report a patient with a systemic inflammatory syndrome in the context of COVID-19, with ophthalmological (uveitis), dermatological (erythema and skin nodules), and cardiovascular (edema) manifestations. The anterior uveitis led to an increase in the intraocular pressure that failed to respond to clinical treatment and prompted a surgical intervention to save the vision. To the best of our knowledge, this is the first report of a COVID-19-related ocular hypertension. Timely surgical intervention was key to save the vision in the patient's only eye.

摘要

医学界一致认为,与 2019 年冠状病毒病(COVID-19)相关的眼部并发症是轻微的、自限性的,迄今为止没有关于威胁视力的事件的报告。我们报告了一例 COVID-19 患者出现全身炎症综合征,伴有眼科(葡萄膜炎)、皮肤科(红斑和皮肤结节)和心血管(水肿)表现。前葡萄膜炎导致眼内压升高,临床治疗无效,需要手术干预以挽救视力。据我们所知,这是首例与 COVID-19 相关的高眼压报告。及时的手术干预是挽救患者唯一一眼视力的关键。

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