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视网膜镜检查与摄影评估巨细胞病毒性视网膜炎进展:临床医生的观点

Funduscopy versus photographic assessment of cytomegalovirus retinitis progression: a clinician's perspective.

作者信息

Migdal C

机构信息

Western Eye Hospital, London, UK.

出版信息

AIDS. 1996 Dec;10 Suppl 4:S19-23.

PMID:9110066
Abstract

OBJECTIVE

Funduscopy was compared with retinal photographs in the documentation of progression of cytomegalovirus (CMV) retinitis.

SETTING

Clinical centres provided oral ganciclovir maintenance therapy for AIDS patients with CMV retinitis inaccurately involved in randomized trials of oral versus intravenous ganciclovir for maintenance therapy of patients with newly diagnosed or previously treated CMV retinitis, in North America, Europe and Australia.

DESIGN

Serial retinal photographs and funduscopy examinations were conducted at each patient visit in order to detect progression of CMV retinitis during the course of oral ganciclovir maintenance therapy.

CONCLUSIONS

Retinal photography is the most accurate for central lesions, funduscopy is preferable for diffuse and peripheral lesions, and in the day-to-day management of patients, the combined approach provides the most accurate information.

摘要

目的

比较眼底镜检查与视网膜摄影在记录巨细胞病毒(CMV)视网膜炎进展情况方面的差异。

设置

临床中心为患有CMV视网膜炎的艾滋病患者提供口服更昔洛韦维持治疗,这些患者未准确参与北美、欧洲和澳大利亚关于口服与静脉注射更昔洛韦用于新诊断或先前治疗的CMV视网膜炎患者维持治疗的随机试验。

设计

在每次患者就诊时进行系列视网膜摄影和眼底镜检查,以检测口服更昔洛韦维持治疗过程中CMV视网膜炎的进展情况。

结论

视网膜摄影对中心病变最为准确,眼底镜检查对弥漫性和周边病变更可取,在患者的日常管理中,联合方法可提供最准确的信息。

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