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关于 COVID-19 相关眼部表现的最新进展。

An Update on COVID-19 Related Ophthalmic Manifestations.

机构信息

Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Ocul Immunol Inflamm. 2021 May 19;29(4):684-689. doi: 10.1080/09273948.2021.1896008. Epub 2021 Apr 7.

Abstract

: To summarize ophthalmic manifestations of coronavirus disease (COVID-19) reported in the literature thus far.: The PubMed database was systematically searched through October 24, 2020, to identify relevant articles using the following search terms: ("COVID-19" OR "SARS-CoV-2") AND ("eye" OR "ophthalmology" OR "retina" OR "retinal findings" OR "cornea" OR "conjunctiva"). Only articles published in English were included in this review.: The reported prevalence of ophthalmic manifestations is generally low, but correlates positively with the severity of the disease. Most commonly reported ocular manifestations are conjunctivitis, conjunctival hyperemia and chemosis. Retinal findings include microhemorrhages and flame-shaped hemorrhages, cotton wool spots, dilated veins, and tortuous vessels.: Considering the COVID-19 cases have reached pandemic dimensions and are surging, yet again, it is of utmost importance to determine its ophthalmic manifestations and prevent their vision threatening complications. Further studies are warranted to establish whether the retinal findings appear due to the COVID-19 or are an incidental finding in patients with a preexisting diabetic or hypertensive retinopathy.

摘要

总结迄今为止文献中报道的冠状病毒病(COVID-19)的眼部表现:通过系统地在 PubMed 数据库中搜索,截至 2020 年 10 月 24 日,使用以下搜索词来识别相关文章:(“COVID-19”或“SARS-CoV-2”)和(“眼睛”或“眼科学”或“视网膜”或“视网膜病变”或“角膜”或“结膜”)。本综述仅纳入发表英文文章。报道的眼部表现发生率通常较低,但与疾病的严重程度呈正相关。最常见的眼部表现为结膜炎、结膜充血和水肿。视网膜病变包括微出血和火焰状出血、棉絮斑、扩张的静脉和扭曲的血管。考虑到 COVID-19 病例已达到大流行规模并再次激增,确定其眼部表现并预防其威胁视力的并发症至关重要。需要进一步的研究来确定视网膜病变是否是由于 COVID-19 引起的,还是患有糖尿病或高血压性视网膜病变的患者的偶然发现。

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