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疑似新冠感染后性视网膜炎——新冠后综合征性视网膜炎的临床和断层特征。

Presumed Post-COVID Infection Retinitis - Clinical and Tomographic Features of Retinitis as a Post-COVID Syndrome.

机构信息

Department of Vitreoretina, M. M. Joshi Eye Institute, Hubballi, India.

出版信息

Ocul Immunol Inflamm. 2023 Aug;31(6):1117-1121. doi: 10.1080/09273948.2022.2060264. Epub 2022 Apr 11.

DOI:10.1080/09273948.2022.2060264
PMID:35404760
Abstract

PURPOSE

To study clinical and imaging features of presumed post-COVID infection retinitis.

METHOD

Retrospective case series of patients presenting with retinitis lesions with evidence of recent COVID infection. Retinal findings and optical coherence tomography (OCT) features were studied at baseline and follow-ups.

RESULTS

Twenty-four eyes of 17 patients were included. Mean age was 36.57 ± 11.78 years. Baseline visual acuity (VA) was log MAR 0.97 ± 0.43. Fundus findings included retinitis patches (n = 24),hard exudates (n = 8), and superficial hemorrhages (n = 16). OCT features included neurosensory detachment (NSD, n = 20), hyperreflective inner layers (n = 24), acute macular neuroretinopathy (AMN, n = 8), hyperreflective foci (n = 20). At final follow-up, VA was logMAR 0.43 ± 0.27. Retinitis patches persisted in four eyes, AMN in three eyes, and NSD in five eyes. Conclusion- Post- COVID infection retinitis adds to existing literature on post COVID syndromes.

摘要

目的

研究疑似 COVID-19 感染后(retinitis)(retinitis)(retinitis)的临床和影像学特征。

方法

回顾性系列病例研究,纳入近期 COVID-19 感染证据的伴有(retinitis)病变的患者。在基线和随访时研究视网膜发现和光学相干断层扫描(OCT)特征。

结果

24 只眼纳入 17 例患者。平均年龄为 36.57 ± 11.78 岁。基线视力(logMAR)为 0.97 ± 0.43。眼底表现包括(retinitis)斑片(n = 24)、硬性渗出(n = 8)和浅层出血(n = 16)。OCT 特征包括神经感觉层脱离(n = 20)、内层高反射(n = 24)、急性黄斑神经视网膜病变(n = 8)、高反射灶(n = 20)。最终随访时,视力(logMAR)为 0.43 ± 0.27。4 只眼的(retinitis)斑片持续存在,3 只眼的 AMN 持续存在,5 只眼的 NSD 持续存在。结论:COVID-19 感染后(retinitis)增加了对 COVID-19 后综合征的现有文献的认识。

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