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蠕形螨与眼睛——综述

Demodex and the eye - A review.

作者信息

Chatterjee Sumana, Gupta Jaya, Srinivas Sanjeev P, Rao Srinivas K

机构信息

Cornea and Ocular Surface, Sunayan Advanced Eye Institute, Tamluk, West Bengal, India.

Cornea, Cataract and Refractive Surgery, The Healing Touch Superspeciality Eye Care Centre, New Delhi, India.

出版信息

Indian J Ophthalmol. 2025 Jan 1;73(1):10-18. doi: 10.4103/IJO.IJO_1591_24. Epub 2024 Dec 23.

DOI:10.4103/IJO.IJO_1591_24
PMID:39723850
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11831939/
Abstract

Demodexblepharitis (DB) has become one of the common differential diagnoses in patients presenting with red eyes in daily clinics. In this review article, we have incorporated a detailed discussion about the mite and the various mechanisms by which it causes different signs and symptoms, the risk factors, and diagnostic methods with current and emerging treatment modalities. Because of the chronic symptoms and rather a late diagnosis, DB considerably affects patients' quality of life. The clues to identify cylindrical dandruff, the diagnostic sign of Demodex, visualization of the mite correlating their presence with signs and symptoms, and instituting early and appropriate treatment are the goals of this article.

摘要

睑缘蠕形螨睑缘炎(DB)已成为日常门诊中出现眼红症状患者的常见鉴别诊断之一。在这篇综述文章中,我们详细讨论了螨虫及其导致不同体征和症状的各种机制、风险因素、诊断方法以及当前和新兴的治疗方式。由于症状慢性化且诊断较晚,DB对患者的生活质量有相当大的影响。识别圆柱状皮屑(蠕形螨的诊断体征)的线索、螨虫的可视化(将其存在与体征和症状相关联)以及开展早期且恰当的治疗是本文的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/7cb79cbde8f1/IJO-73-10-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/aa072915e51c/IJO-73-10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/c3a0c814c490/IJO-73-10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/435145f02cd6/IJO-73-10-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/e9e01aaa4798/IJO-73-10-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/0e29d7ba6a2b/IJO-73-10-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/7cb79cbde8f1/IJO-73-10-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/aa072915e51c/IJO-73-10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/c3a0c814c490/IJO-73-10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/435145f02cd6/IJO-73-10-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/e9e01aaa4798/IJO-73-10-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/0e29d7ba6a2b/IJO-73-10-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7597/11831939/7cb79cbde8f1/IJO-73-10-g006.jpg

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Parasit Vectors. 2024 Feb 14;17(1):64. doi: 10.1186/s13071-024-06122-x.
2
Topical ivermectin 1.0% cream in the treatment of ocular demodicosis.1.0%伊维菌素局部乳膏治疗眼部蠕形螨病
Cont Lens Anterior Eye. 2024 Feb;47(1):102099. doi: 10.1016/j.clae.2023.102099. Epub 2023 Dec 3.
3
The varied influence of ocular Demodex infestation on dry eye disease and meibomian gland dysfunction across different age groups.
不同年龄段眼部蠕形螨感染对干眼症和睑板腺功能障碍的不同影响。
Sci Rep. 2023 Sep 28;13(1):16324. doi: 10.1038/s41598-023-43674-x.
4
Demodex Blepharitis: A Survey-Based Approach to Investigate Knowledge, Attitudes, and Practices Among Optometrists in India.睑缘蠕形螨睑缘炎:一项基于调查的研究,旨在探究印度验光师的知识、态度和实践情况。
Clin Optom (Auckl). 2023 Apr 11;15:55-64. doi: 10.2147/OPTO.S403837. eCollection 2023.
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Clinical diagnosis and management of Demodex blepharitis: the Demodex Expert Panel on Treatment and Eyelid Health (DEPTH).蠕形螨睑缘炎的临床诊断与管理:蠕形螨治疗与眼睑健康专家小组(DEPTH)
Eye (Lond). 2023 Oct;37(15):3249-3255. doi: 10.1038/s41433-023-02500-4. Epub 2023 Mar 24.
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Delphi Panel Consensus Regarding Current Clinical Practice Management Options for .关于……当前临床实践管理选项的德尔菲专家小组共识
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The correlation between Demodex infestation and meibomian gland dysfunction at different ages.不同年龄段螨虫感染与睑板腺功能障碍的相关性。
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