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COVID-19感染后视网膜静脉分支阻塞:一例报告

Branch Retinal Vein Occlusion After COVID-19 Infection: A Case Report.

作者信息

Kapsis Petros, Agapitou Chrysa, Dimitriou Eleni, Theodossiadis Panagiotis, Chatziralli Irini

机构信息

2nd Department of Ophthalmology, School of Medicine, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, GRC.

出版信息

Cureus. 2023 Apr 26;15(4):e38172. doi: 10.7759/cureus.38172. eCollection 2023 Apr.

DOI:10.7759/cureus.38172
PMID:37252587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10219685/
Abstract

A 65-year-old male patient presented to the ED complaining of blurred vision in the left eye for the last three days. The patient had just recovered from COVID-19 infection and had a negative polymerase chain reaction (PCR) test two days after the initiation of symptoms. His family and medical history were clear. Ophthalmological examination and imaging revealed branch retinal vein occlusion (BRVO) with macular edema in the left eye, while the right eye was normal. The visual acuity was 6/6 in the right eye and 6/36 in the left eye. Laboratory tests, as well as the full cardiovascular and thrombophilia evaluation, were normal. Since the patient did not have known risk factors for BRVO, we hypothesize that it was related to COVID-19 infection. However, the causality between the two entities remains under investigation.

摘要

一名65岁男性患者因左眼视力模糊三天前来急诊科就诊。该患者刚从新冠病毒感染中康复,症状出现两天后聚合酶链反应(PCR)检测呈阴性。他的家族史和病史均无异常。眼科检查和影像学检查显示左眼为视网膜分支静脉阻塞(BRVO)伴黄斑水肿,而右眼正常。右眼视力为6/6,左眼视力为6/36。实验室检查以及全面的心血管和血栓形成倾向评估均正常。由于该患者没有已知的BRVO危险因素,我们推测它与新冠病毒感染有关。然而,两者之间的因果关系仍在调查中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10219685/68973af5329b/cureus-0015-00000038172-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10219685/bb546fee6e02/cureus-0015-00000038172-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10219685/b2a2dceae21a/cureus-0015-00000038172-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10219685/68973af5329b/cureus-0015-00000038172-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10219685/bb546fee6e02/cureus-0015-00000038172-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10219685/b2a2dceae21a/cureus-0015-00000038172-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/10219685/68973af5329b/cureus-0015-00000038172-i03.jpg

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本文引用的文献

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Covid-19 and its relation to the human eye: transmission, infection, and ocular manifestations.Covid-19 及其与人类眼睛的关系:传播、感染和眼部表现。
Graefes Arch Clin Exp Ophthalmol. 2023 Jul;261(7):1771-1780. doi: 10.1007/s00417-022-05954-6. Epub 2022 Dec 31.
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Consecutive central and branch retinal vein occlusions in the same eye of a young healthy COVID-19 patient: A unique case report.一名年轻健康的新冠肺炎患者同一只眼睛先后发生视网膜中央静脉阻塞和视网膜分支静脉阻塞:一例独特病例报告。
Am J Ophthalmol Case Rep. 2022 Jul 31;27:101669. doi: 10.1016/j.ajoc.2022.101669. eCollection 2022 Sep.
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Retinal vascular occlusion in patients with the Covid-19 virus.
感染新冠病毒患者的视网膜血管阻塞
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Nasal vein occlusion after COVID-19: A case report.新冠病毒感染后发生鼻静脉闭塞:一例报告。
Indian J Ophthalmol. 2022 Jun;70(6):2195-2196. doi: 10.4103/ijo.IJO_680_22.
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Changes in the Incidence of Retinal Vascular Occlusions After COVID-19 Diagnosis.COVID-19 诊断后视网膜血管闭塞发生率的变化。
JAMA Ophthalmol. 2022 May 1;140(5):523-527. doi: 10.1001/jamaophthalmol.2022.0632.
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Bilateral branch retinal vein occlusion following the diagnosis of mild coronavirus disease.诊断出轻度冠状病毒病后出现双侧分支视网膜静脉阻塞。
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7
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