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儿童眼囊尾蚴病眼前节表现:无特异性?

Anterior Segment Findings in Ocular Myocysticercosis in Children: Is it non- specific?

机构信息

Nirwana Netralaya, Athkhambhwa, Sasaram- 821115, Bihar, India.

出版信息

Nepal J Ophthalmol. 2021 Jan;13(25):141-145. doi: 10.3126/nepjoph.v13i1.28452.

Abstract

Ocular cysticercosis is a preventable cause of blindness. Medical therapy has been recommended for the retro-orbital and extraocular muscle form. Surgical management is largely done in cases with conjunctival or lid affliction. Though, the medical management is simple; however, the diagnosis is challenging. The anterior segment findings often mimic the more common pathologies and hence often missed at the early stage. This case series of 3 pediatric patients, tries to highlight certain clinical clues which are suggestive of ocular myocysticercosis in children. Literature often recalls anterior segment findings in ocular myocysticercosis as "non- specific and nondiagnostic". Canthal congestion and contiguous conjunctival congestion extending upto corresponding limbal border in absence of anterior chamber inflammation with other clinical clues are very suggestive of corresponding recti myocysticercosis.

摘要

眼囊尾蚴病是可预防的致盲原因。已建议对眶内和眼外肌型进行医学治疗。手术治疗主要用于结膜或眼睑受累的病例。尽管医学治疗很简单,但诊断具有挑战性。前段的发现常与更常见的病变相似,因此在早期常被忽视。本系列包括 3 例儿科患者,旨在强调某些提示儿童眼肌囊尾蚴病的临床线索。文献常将眼肌囊尾蚴病的前段表现描述为“非特异性和非诊断性”。在无前房炎症的情况下,内眦充血和相邻结膜充血延伸至相应的角膜缘,伴有其他临床线索,非常提示相应的直肌囊尾蚴病。

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