Kasparova E A, Marchenko N R, Loseva I E
Vestn Oftalmol. 1998 Jul-Aug;114(4):24-6.
Adenoviruses often cause epidemic keratoconjunctivitis. The infection is highly contagious, often leads to corneal opacities, and is therefore to be timely diagnosed and properly treated. The authors propose a method for rapid diagnosis of adenovirus infection based on examination of a scraping off the conjunctiva by indirect immunofluorescence with polyvalent fluorescent rabbit serum and offer recommendations on the use of this method. Using this technique, adenovirus antigen was detected in 14 (61%) out of 23 patients with acute follicular conjunctivitis and in 19 (95%) out of 20 patients with keratoconjunctivitis. Despite clinical cure after antiviral therapy, the antigen persisted for 1 month in 22-30% patients and in some patients for 3 months (as a rule, it was in patients treated too late or ineffectively or after corticosteroids). That is why maintenance antivirus therapy is recommended for 2-3 months after clinical cure.
腺病毒常引起流行性角结膜炎。这种感染具有高度传染性,常导致角膜混浊,因此需要及时诊断并进行恰当治疗。作者提出了一种基于用多价荧光兔血清间接免疫荧光法检查结膜刮片来快速诊断腺病毒感染的方法,并就该方法的使用给出了建议。运用这项技术,在23例急性滤泡性结膜炎患者中有14例(61%)检测到腺病毒抗原,在20例角结膜炎患者中有19例(95%)检测到腺病毒抗原。尽管抗病毒治疗后临床治愈,但22% - 30%的患者抗原持续存在1个月,部分患者持续3个月(通常是治疗过晚、无效或使用皮质类固醇后的患者)。这就是为什么建议在临床治愈后进行2 - 3个月的维持抗病毒治疗。