Ocular manifestations of West Nile virus.

Ocular manifestations of West Nile virus.
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DOI:
10.1097/01.icu.0000143687.45232.f1
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发表时间:
2004-12-01
影响因子:
3.7
通讯作者:
Kaiser, Peter K
Kaiser, Peter K
中科院分区:
医学2区
文献类型:
--
作者:
Bakri, Sophie J;Kaiser, Peter K

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审查目的:回顾西尼罗河病毒感染患者的眼部表现。近期发现:眼部表现包括多灶性脉络膜炎、玻璃体炎、视网膜内水肿、虹膜炎、角膜沉淀物、视神经炎、视网膜分支动脉闭塞和宫内传播病例中的脉络膜视网膜瘢痕形成。所有报告的成年人视力都有所改善,大多数人在几个月的时间里,无论是否使用局部类固醇,炎症都得到了缓解。在任何出现上述结果和全身性疾病的患者中,特别是来自流行区的患者,获得西尼罗河病毒滴度可能是合理的。
PURPOSE OF REVIEW: To review the ocular findings of patients with West Nile Virus.RECENT FINDINGS: Ocular findings have included multifocal choroiditis, vitritis, intraretinal hemorrhages, iritis, keratic precipitates, optic neuritis, branch retinal artery occlusions, and chorioretinal scarring in a case of intrauterine transmission.SUMMARY: The ocular findings associated with WNV appear to be self-limited. All the adults reported had improved vision and most had resolution of inflammation, with or without topical steroids, over the course of a few months. It may be reasonable to obtain West Nile Virus titers in any patient presenting with the above findings and systemic illness, especially from an endemic area.