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应用共焦显微镜评估既往感染 SARS-CoV-2 患者的角膜内皮细胞参数。

Assessment of corneal endothelial cell parameters using specular microscopy in previously infected SARS-CoV-2 patients.

机构信息

Department of Ophthalmology, Ain Shams University Hospitals, Ramses St., Abbasiya, Cairo, 11517, Egypt.

出版信息

Int Ophthalmol. 2023 Aug;43(8):2983-2987. doi: 10.1007/s10792-023-02681-7. Epub 2023 Mar 11.

DOI:10.1007/s10792-023-02681-7
PMID:36906646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10008069/
Abstract

PURPOSE

To examine the long-term effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on the corneal endothelium.

METHODS

This was a comparative, cross-sectional study that included subjects who had recovered from SARS-CoV-2 infection for at least 6 months (group 1) and a group of age- and sex-matched controls with no prior symptomatology or documentation of SARS-CoV-2 infection (group 2). After full ophthalmological evaluation, specular microscopy was used to examine the endothelial cell parameters, including endothelial cell density, coefficient of variation, hexagonality, average area, and central corneal thickness.

RESULTS

Sixty-four and 53 right eyes were included in groups 1 and 2, respectively. No statistically significant differences were detected in any of the examined specular parameters between the two groups.

CONCLUSION

SARS-CoV-2 infection may have no delayed sequel on the corneal endothelium. Future prospective studies with repeated examinations in the same subjects would be useful.

摘要

目的

研究严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染对角膜内皮的长期影响。

方法

这是一项比较性、横断面研究,纳入至少 6 个月前从 SARS-CoV-2 感染中康复的受试者(第 1 组)和一组年龄和性别匹配、无先前症状或 SARS-CoV-2 感染记录的对照组(第 2 组)。在全面的眼科评估后,使用共焦显微镜检查内皮细胞参数,包括内皮细胞密度、变异系数、六边形、平均面积和中央角膜厚度。

结果

第 1 组和第 2 组分别纳入 64 只和 53 只右眼。两组间任何检查的镜面参数均无统计学差异。

结论

SARS-CoV-2 感染可能不会对角膜内皮产生延迟性后遗症。未来对同一受试者进行重复检查的前瞻性研究将很有帮助。

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本文引用的文献

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Bilateral corneal endothelial failure following COVID-19 pneumonia.新冠肺炎肺炎后双侧角膜内皮功能衰竭。
BMJ Case Rep. 2021 Sep 20;14(9):e242702. doi: 10.1136/bcr-2021-242702.
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Examination of the effects of COVID 19 on corneal endothelium.检查 COVID-19 对角膜内皮的影响。
Graefes Arch Clin Exp Ophthalmol. 2021 Aug;259(8):2295-2300. doi: 10.1007/s00417-021-05259-0. Epub 2021 Jun 7.
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The emergence of new strains of SARS-CoV-2. What does it mean for COVID-19 vaccines?新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)毒株的出现。这对2019冠状病毒病(COVID-19)疫苗意味着什么?
Expert Rev Vaccines. 2021 Jun;20(6):635-638. doi: 10.1080/14760584.2021.1915140. Epub 2021 Apr 25.
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The effect of diabetes on corneal endothelium: a meta-analysis.糖尿病对角膜内皮的影响:一项荟萃分析。
BMC Ophthalmol. 2021 Feb 10;21(1):78. doi: 10.1186/s12886-020-01785-3.
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The Proportion of SARS-CoV-2 Infections That Are Asymptomatic : A Systematic Review.无症状 SARS-CoV-2 感染的比例:系统评价。
Ann Intern Med. 2021 May;174(5):655-662. doi: 10.7326/M20-6976. Epub 2021 Jan 22.
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Non-contact specular microscopy with Topcon instruments to assess central corneal thickness of healthy human eyes - A 20 year review.应用 Topcon 仪器的非接触镜面反射显微镜评估健康人眼角膜中央厚度 - 20 年回顾。
Cont Lens Anterior Eye. 2021 Aug;44(4):101385. doi: 10.1016/j.clae.2020.11.005. Epub 2020 Dec 16.
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SARS-CoV-2 on the ocular surface: is it truly a novel transmission route?SARS-CoV-2 于眼表面:其是否为全新传播途径?
Br J Ophthalmol. 2021 Sep;105(9):1190-1195. doi: 10.1136/bjophthalmol-2020-316263. Epub 2020 Aug 11.
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Role of angiotensin-converting enzyme 2 (ACE2) in COVID-19.血管紧张素转化酶 2(ACE2)在 COVID-19 中的作用。
Crit Care. 2020 Jul 13;24(1):422. doi: 10.1186/s13054-020-03120-0.
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COVID-19: Unanswered questions on immune response and pathogenesis.COVID-19:免疫反应和发病机制方面的未解决问题。
J Allergy Clin Immunol. 2020 Jul;146(1):18-22. doi: 10.1016/j.jaci.2020.05.001. Epub 2020 May 8.
10
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