检索结果-南通市图书馆

Optical Coherence Tomography Features of Tuberculous Serpiginous-like choroiditis and Serpiginous choroiditis

Biomedical and Environmental Sciences 2018年第5期31卷 327-334页

作者： wang xiao na you qi sheng zhao hui ying peng xiao yan Beijing Institute of Ophthalmology Beijing Tongren Eye Center Beijing Ophthalmology and Visual Science Key Lab Beijing Tongren Hospital Capital Medical University Beijing 100730 China

Objective To investigate optical coherence tomography（OCT） characteristics of tuberculous serpiginous-like choroiditis（Tb-SLC） and serpiginous choroiditis（SC） and to perform OCT to differentiate between these *** This retrospective,case-control study examined consecutively enrolled patients with active Tb-SLC or *** underwent comprehensive ocular examinations and imaging（OCT,color fundus photography,autofluorescence imaging,fluorescein angiography,and indocyanine green angiography）.Findings were examined and compared between eyes with SC and *** Nine patients with active Tb-SLC（14 eyes） and 8 with active SC（12 eyes） were *** following OCT findings were observed significantly more often in the Tb-SLC group than in the SC group： vitreal hyper-reflective spots [5 Tb-SLC eyes（36%）,no SC eyes：P = 0.02],intraretinal edema [11 Tb-SLC eyes（79%）,3 SC eyes（25%）：P = 0.01],sub-retinal pigment epithelium（RPE） drusenoid deposits [11 Tb-SLC eyes（79%）,2 SC eyes（17%）：P 〈 0.01],and choroidal granulomas [8 Tb-SLC eyes（57%）,2 SC eyes（17%）：P = 0.03].A hyporeflective,wedge-shaped band was observed more often in the SC group [5 Tb-SLC eyes（36%）,9 SC eyes（75%）：P = 0.045] than in the Tb-SLC *** incidence of other OCT signs did not differ between the groups and included outer nuclear layer hyper-reflection,outer retinal tabulation,and choriocapillaris point-like *** Vitreal hyper-reflective spots,intraretinal fluid,sub-RPE drusenoid deposits,and choroidal granulomas on OCT images may indicate ***,a hyporeflective,wedge-shaped band may indicate ***,OCT is likely helpful in differentiating between Tb-SLC and SC.

关键词： Optical coherence tomography choroiditis Serpiginous Tuberculosis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Efficacy of Anti-VEGF and Subtenon Injection of Triamcinolone Acetonide for Choroidal Neovascularization Associated with Multifocal choroiditis

引用

Open Journal of Ophthalmology 2017年第2期7卷 117-123页

作者： Dongning Liu Cong Zhang Li Xu The Fourth People’s Hospital of Shenyang Shenyang China

Purpose: To evaluate the short-term efficacy of intravitreal anti-VEGF (Lucentis) and sub-tenon injection of triamcinolone acetonide for choroidal neovascularization (CNV) associated with multifocal choroiditis (MC). Methods: Eight eyes of 8 patients treated with intravitreal anti-VEGF and posterior sub-tenon injection of Triamcinolone Acetonide (TA) for subfoveal or juxtafoveal CNV associated with MC were retrospectively reviewed. Best corrected visual acuity (BCVA), results of fundus fluorescein angiography (FFA)/indocyanine green angiography (ICGA), optical coherence tomography (OCT) at baseline and 3, 6 months after treatment were compared. Results: All of the 8 patients showed significant improvement in BCVA at 3 and 6 months after treatment (P < 0.05). FFA/ICGA showed decrease or cessation of inflammation in 8 patients (100%). 7 patients (87.5%) had no significant active leakage while 1 patient (12.5%) had persistent leakage from the neovascular lesion at 3-month follow up. 6 months after treatment, no recurrence of inflammation occurred and no active leakage in all 8 patients. OCT showed reduced CNV area and alleviated edema. There are no severe treatment-related side effects expect slight eye pain during infusion in one patient. Intraocular pressure was all normal in follow up. Conclusion: Although the follow-up time and the number of patients in this study were limited, the use of intravitreal anti-VEGF combined with sub-tenon injection of TA was associated with improvement of visual acuity in patients with CNV secondary to MC. Further studies including a greater number of patients with longer follow up time are needed.

关键词： Anti-VEGF Tenon Injection of TA Multifocal choroiditis CNV

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Ocular syphilis:a case series of four patients and a review of the literature

引用

Annals of Eye Science 2024年第2期9卷 62-70页

作者： Madeline Beckman Lana M.Rifkin Department of Ophthalmology and Visual Sciences The Ohio State UniversityColumbusOHUSA Ophthalmic Consultants of Boston Uveitis ServiceBostonMAUSA

Background:The incidence of syphilis has been increasing in the United States over the last two decades,with a more recent increase among *** syphilis is an uncommon but important complication of syphilis,most often presenting as posterior or panuveitis in late or latent syphilis of unknown *** ocular syphilis may lead to permanent vision loss,underscoring the importance of appropriate evaluation and treatment of ocular *** Description:In a retrospective,non-contiguous case series,we highlight four patients diagnosed and treated with ocular syphilis at a single *** presentations of ocular syphilis are illustrated:anterior and intermediate uveitis,optic neuritis,posterior uveitis,and *** patients initially presented with a decreased visual acuity(VA).One patient had a previous diagnosis of human immunodeficiency virus(HIV).Three patients were treated with intravenous(IV)penicillin and one patient with IV *** had a return to their baseline VA after their course of ***:Syphilis may go undetected without a high index of clinical suspicion due to its nonspecific *** patients with ocular inflammation should have syphilis testing as a part of their infectious workup with both treponemal and non-treponemal *** diagnosed with syphilis and are not known to be HIV-negative should undergo testing for HIV due to the high rate of *** diagnosis and prompt treatment after onset of symptoms may contribute to a more favorable prognosis for ocular syphilis.

关键词： Ocular syphilis uveitis choroiditis intermediate uveitis case series

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Newer trends in tubercular uveitis:a case series with systemic correlation

引用

International Journal of Ophthalmology(English edition) 2020年第11期13卷 1739-1744页

作者： Radha Annamalai Meera Mohanakumar Krishmma Raghii Muthukumar Muthayya Department of Ophthalmology Sri Ramachandra Medical College and Research InstitutePorurChennai 600116India

AIM:To determine the spectrum of uveitis,causes of visual loss in systemic tuberculosis(TB),role of investigations and outcome after anti-TB therapy(ATT).METHODS:A retrospective study was conducted on 250 patients with systemic TB at a referral center in Chennai,South India from April 2016 to May *** workup comprised of Mantoux,chest X-ray,polymerase chain reaction(PCR)and QuantiFERON(QFT)TB *** humor analysis by nested PCR or real time PCR(RT-PCR)and ancillary ophthalmic investigations such as fundus fluorescein angiography,optical coherence tomography were ***:Multifocal choroiditis and vasculitis were the most common manifestations(39%and 24%respectively)together accounting for 61%of cases and they had a higher risk of recurrence(3%).Pulmonary tuberculosis(PTB)was more frequently associated with uveitis(18%).Among those with extra-pulmonary tuberculosis(EPTB),uveitis occured in miliary TB(2%),bone(1%)and abdominal TB(1%).Complications such as cystoid macular edema,choroidal neovascular membranes and macular scarring caused visual *** humor analysis detected mycobacterium TB ***,systemic investigations such as chest X-ray,Mantoux test and those performed on blood samples such as PCR and QFT were positive in 39%of *** inconclusive patients,nested PCR and/or RT-PCR were done on aqueous humor samples and were diagnostic in 96%.A combination of tests was diagnostic in 92%.ATT in isolation in 71%and combined with corticosteroids in 29%was used for treatment of which signs of resolution and improvement in vision started as early as 6wk in those who were started immediately on corticosteroids and ATT and longer than 3mo in those on ATT *** treatment with ATT and corticosteroids improved vision in 23%of our patients within *** with choroiditis causes cystoid macular oedema and requires longer duration of *** improved in 69%.Complete resolution occurred in 75%and worsening in 12%.CO

关键词： uveitis tuberculosis choroiditis antituberculosis therapy vasculitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Choroidal Tuberculoma in an Immunocompetent Young Patient

引用

Chinese Medical Sciences Journal 2011年第3期26卷 194-196页

作者： Xiu-fen Yang Jun Xu Kai Ma Beijing Tongren Eye Center Beijing Ophthalmology and Visual Sciences Key LaboratoryBeijing Tongren HospitalCapital Medical UniversityBeijing 100730China Department of Ophthalmology Liaocheng Renmin HospitalLiaochengShandong 252000China

TUBERCULOSIS （TB） remains one of the leading causes of preventable morbidity and mortality from infectious disease worldwide.1 It is a chronic progressive granulomatous infection caused by Mycobacterium tuberculosis... 详细信息

关键词： choroidal tuberculoma tuberculosis choroiditis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Ocular Manifestations among Systemic Tuberculosis Cases: A Hospital Based Study from Nepal

引用

Journal of Tuberculosis Research 2019年第4期7卷 202-211页

作者： Subash Bhatta Ajit Thakur Dev Narayan Shah Meenu Choudhary Nayana Pant Geta Eye Hospital Kailali Nepal Drishti Eye Hospital Jhapa Nepal Institute of Medicine Kathmandu Nepal

Aim: To study the frequency of various ocular manifestations in diagnosed cases of active pulmonary and extra pulmonary tuberculosis in two different major hospitals in Nepal. Method: A hospital based, cross sectional descriptive study was conducted in the National Tuberculosis Centre, Bhaktapur and BP Koirala Lions Center for Ophthalmic Studies (BPKLCOS), Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal during a period of 18 months from February 2010 to August 2011. Diagnosed cases of systemic tuberculosis were evaluated by ophthalmologists for any ophthalmic manifestations. Results: There were 585 cases in the study. 399 (68%) were cases of pulmonary tuberculosis and 186 (32%) were that of extra pulmonary tuberculosis. Ocular manifestations were seen in 2.6% (15 patients) of the study population;1.25% (6 patients) in cases of pulmonary tuberculosis and 5.37% (9 patients) in extra pulmonary tuberculosis cases. Uveitis (40%) followed by papilloedema (33%) were the two most common ocular manifestations. Of the 25 affected eyes of 15 patients, 2 eyes of patients with choroiditis involving the macular area were legally blind. Majority of the affected cases (67%) had bilateral involvement. Conclusion: Ocular manifestations in tuberculosis vary greatly ranging from mild episcleritis to potentially blinding posterior uveitis, clinical acumen being of great importance in timely diagnosis and treatment so that vision threatening complications can be prevented. Ocular manifestations are more common in extra pulmonary tuberculosis cases.

关键词： Tuberculosis Ocular Tuberculosis Uveitis choroiditis Papilledema

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：