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Ocular manifestations of COVID-19 disease COVID-19疾病的眼部表现
Pub Date : 2020-05-25 DOI: 10.15406/aovs.2020.10.00383
Anna Major Bastian, Dawn S Russell Hermanns
The highly contagious novel coronavirus 2019-nCoV is a new strain not previously identified in humans. Also known as coronavirus 2 (SARS-CoV-2), this virus causes a severe acute respiratory syndrome and has had widespread impact gaining pandemic status by the World Health Organization. There have been reports on the ocular manifestations of infection with this virus and this article provides a mini review of the published data.
高传染性新型冠状病毒2019-nCoV是一种以前未在人类中发现的新毒株。这种病毒也被称为冠状病毒2 (SARS-CoV-2),它会导致严重的急性呼吸系统综合症,并产生广泛的影响,已被世界卫生组织列为大流行。已有关于感染该病毒的眼部表现的报道,本文对已发表的数据进行了简要回顾。
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引用次数: 0
COVID-19: ocular manifestations, ocular secretions, and ocular portal of entry COVID-19:眼部表现、眼部分泌物和眼部入口
Pub Date : 2020-04-27 DOI: 10.15406/aovs.2020.10.00382
B. DeBroff
SARS-Cov-2 is a Coronovirus in the subfamily Coronavirinae, in the family Coronaviridae and in the order of Nidovirales and is responsible for COVID-19 disease. General characteristics of the virus are discussed with an emphasis on ocular manifestations of infection. In addition, the potential of ocular secretions including tears are reviewed as a potential for human to human spread of the virus. Finally, a discussion is made of the latest information on the eye as a portal for exposure and development of COVID-19 infection.
SARS-Cov-2是冠状病毒亚科、冠状病毒科和尼多病毒目中的一种冠状病毒,是导致COVID-19疾病的罪魁祸首。讨论了病毒的一般特征,重点是感染的眼部表现。此外,包括眼泪在内的眼部分泌物的潜在可能性被视为病毒在人与人之间传播的潜在可能性。最后,讨论了眼睛作为COVID-19感染暴露和发展的门户的最新信息。
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引用次数: 4
Spontaneous closure of stage 2 macular hole after cataract surgery 白内障术后2期黄斑孔的自发闭合
Pub Date : 2020-04-23 DOI: 10.15406/aovs.2020.10.00381
A. Dhami, N. Dhami, G. Dhami
We report a case of 64-year-old female, presented with decreased vision in left eye, for 3 months. Her vision was 20/30, N6 in right eye and 20/200 and N36 in left eye. She had nuclear sclerosis grade 2 and optical coherence tomography showed stage-2 macular hole in left eye. The macular hole diameter was 286 microns and the basal dimeter of 486 microns. The patient underwent cataract surgery with intraocular lens implantation in left eye. At 1 month, an inner retinal layer apposition was noted with subsequent inner to outer retinal apposition, resulting in complete spontaneous closure at the 3rd month follow up with visual acuity gain of 20/40, N8. This case highlights that stage-2 macular hole can close spontaneously with relief of vitreomacular traction.
我们报告一例64岁女性,表现为左眼视力下降3个月。右眼视力20/30,N6,左眼视力20/200,N36。她患有2级核硬化,光学相干断层扫描显示左眼黄斑洞2级。黄斑孔直径286微米,基底直径486微米。患者接受了左眼白内障人工晶状体植入术。1个月时,观察到视网膜内层重合,随后视网膜内外重合,在第3个月随访时完全自发闭合,视力增加20/40,N8。本病例强调,随着玻璃体黄斑牵引力的解除,2期黄斑孔可以自发闭合。
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引用次数: 0
Assessment of contrast sensitivity in pre & post trans-epithelial photorefractive keratectomy 经上皮光屈光性角膜切除术前后对比敏感度的评估
Pub Date : 2020-04-04 DOI: 10.15406/aovs.2020.10.00379
Iqra Khalil, Hira Anwar, Hafiza Azka Noor
Purpose: study was to compare the contrast sensitivity before and after Trans- PRK. Methods: The comparative study was conducted in department of ophthalmology medina teaching hospital Faisalabad. Total 30 myopic volunteers of both genders, with ages ranging from 20 years to 35 years, who had not undergone any ocular surgery or medical treatment for systemic or ocular diseases e.g. diabetes, Alzheimer's disease, glaucoma, macular degeneration, dry eye and cataract. Data was collected through non-probability convenient sampling technique from Sep 2018- May 2019. Data was entered in to SPSS version 20 and analyzed by using Paired sample t-test. Results: Significant improvement was seen in contrast sensitivity after Trans-PRK 0.00 (p<0.005) by paired sample t-test. Contrast sensitivity test before and after Trans-PRK of right and left eye showed mean of right eye -.41533±0.18678 and left eye mean -.22167±0.24378 respectively. Conclusion: Our research concluded that, there is greater statistical difference between before and after Trans-PRK contrast sensitivity measurements. Contrast sensitivity improves after surgery significantly. Trans-PRK procedure is best method to correct refractive errors and removal of glasses and contact lens permanently with minimum chance of complications.
目的:比较Trans- PRK前后的对比敏感性。方法:在费萨拉巴德市麦地那教学医院眼科进行对比研究。共有30名近视志愿者,男女皆有,年龄从20岁到35岁不等,未接受过任何眼部手术或治疗全身性或眼部疾病,如糖尿病、阿尔茨海默病、青光眼、黄斑变性、干眼症和白内障。数据采集时间为2018年9月至2019年5月,采用非概率方便抽样方法。数据输入SPSS version 20,采用配对样本t检验进行分析。结果:经配对样本t检验,Trans-PRK为0.00 (p<0.005)后,对比敏感性有显著改善。右眼和左眼Trans-PRK前后对比敏感度试验显示,右眼平均值为- 0.41533±0.18678,左眼平均值为- 0.22167±0.24378。结论:我们的研究表明,Trans-PRK对比灵敏度测量前后存在较大的统计学差异。术后对比敏感度明显提高。Trans-PRK手术是矫正屈光不正和永久摘掉眼镜和隐形眼镜的最佳方法,并发症的可能性最小。
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引用次数: 0
Role of ophthalmologists in combating with the Coronavirus disease 2019 眼科医生在抗击2019冠状病毒病中的作用
Pub Date : 2020-04-02 DOI: 10.15406/aovs.2020.10.00378
B. Turgut
nCoV, novel coronavirus; SARS-CoV, severe acute respiratory syndrome Coronavirus; MERS-CoV, Middle East Respiratory Syndrome-Coronavirus; 2019-nCoV, novel Coronavirus 2019; WHO, World Health Organization; ACE2, angiotensin‐converting enzyme 2; reverse‐transcription polymerase chain reaction (RT‐PCR); CDC, Centers for Disease Control and Prevention; AAO, American Academy of Ophthalmology.
新型冠状病毒;SARS-CoV,严重急性呼吸综合征冠状病毒;中东呼吸综合征冠状病毒;2019- ncov,新型冠状病毒2019;世卫组织,世界卫生组织;ACE2,血管紧张素转换酶2;逆转录聚合酶链反应(RT - PCR);美国疾病控制与预防中心;AAO,美国眼科学会。
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引用次数: 4
Prevalence of ocular findings in transgender and barriers for not reporting to eye hospitals and clinics 跨性别者眼部检查的患病率及不向眼科医院和诊所报告的障碍
Pub Date : 2020-03-31 DOI: 10.15406/aovs.2020.10.00377
Amna Javid, Saba Akram, A. Batool, T. Afghani, Gul E Sehar, Hina m anzoor
Background: Transgender, is one whose gender identity, behaviour, and expressions are different from that assigned at birth. They are also called third gender or eunuch transversity as they don't conform to the traditional notion of male and female thus are not accepted by the mainstream society, so their rights for everything like health, education, culture, dignity are violated. Before dividing the world into two gender boxes, we are all human beings who deserve to enjoy every opportunity and benefits of living, including healthcare, and its important component Eye care. Aim: the aim of this research work was to find the prevalence of eye problems in transgender and to explore factors and barriers for not reporting to eye care hospitals and clinics for seeking eye care. Methods: the study design of this research work was descriptive cross-sectional study design and technique used for collecting data of sample size 73 was snowball non-random sampling technique from participants who represented themselves as a transgender in a setting of transgender communities. Results: The prevalence of ocular findings in transgender was 68.5% and the main barriers for not reporting to eye clinics was fear of discrimination, financial problems, lack of awareness, verbal abuse, misconceptions. And factors for not wearing spectacles are cosmetic issues occupational restrictions and discomfort. There is a significant effect of barriers, age and last eye examinations on ocular findings in Transgender with the p-value =0.006, 0.009 and 0.030 respectively.
背景:跨性别者是指性别认同、行为和表达与出生时不同的人。他们也被称为第三性别或太监transversity,因为他们不符合传统的男女观念,因此不被主流社会所接受,因此他们的健康,教育,文化,尊严等一切权利都受到侵犯。在把世界分为两个性别盒子之前,我们都是人类,应该享受生活的每一个机会和好处,包括医疗保健,以及它的重要组成部分——眼睛护理。目的:本研究的目的是发现跨性别者眼部问题的患病率,并探讨不向眼科医院和诊所报告寻求眼科护理的因素和障碍。方法:本研究采用描述性横断面研究设计,收集样本数据采用滚雪球非随机抽样技术,从跨性别社区中自称为跨性别者的参与者中收集数据。结果:变性人眼部检查的患病率为68.5%,不去眼科就诊的主要障碍是害怕歧视、经济困难、缺乏认识、言语虐待和误解。不戴眼镜的原因还有美容问题、职业限制和不适。障碍、年龄和最后一次眼科检查对跨性别者眼部检查有显著影响,p值分别为0.006、0.009和0.030。
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引用次数: 1
Orbital emphysema with loss of vision following undiluted intravitrel perfluoropropane administration 未稀释全氟丙烷静脉注射后眼窝肺气肿伴视力丧失
Pub Date : 2019-04-24 DOI: 10.15406/aovs.2019.09.00345
Ahmad Aziz, S. Nagendran, M. Perry, V. Lee
We present a case of orbital emphysema leading to orbital compartment syndrome and permanent visual loss secondary to expansion of perfluoropropane (C3F8) gas, which was injected into the vitreous cavity as a gaseous tamponade during vitreoretinal surgery and inadvertently undiluted. Orbital emphysema leading to orbital compartment syndrome resulted in visual loss despite treatment with lateral canthotomy, cantholysis and surgical decompression. Orbital compartment syndrome is an ophthalmic emergency and should be treated immediately with lateral canthotomy and cantholysis. There is little literature on the management and outcomes of orbital compartment syndrome with expansile gases such as C3F8 which may quadruple in volume within 96 hours. Hyperbaric oxygen has been reported to be of benefit but patients may require orbital decompression for definitive treatment. Although orbital emphysema with air rarely threatens vision orbital emphysema with expansile gases can lead to orbital compartment syndrome and visual loss.
我们报告一例由于全氟丙烷(C3F8)气体在玻璃体视网膜手术中作为气体填塞注入玻璃体腔,无意中未稀释而导致的眼眶肺气肿导致眼眶间室综合征和永久性视力丧失。尽管进行了侧眦切开术、眦松解术和手术减压治疗,但导致眶腔室综合征的眶肺气肿仍导致视力丧失。眶间室综合征是一种眼科急症,应立即采用外侧眦切开术和眦松解术治疗。目前关于可膨胀气体(如C3F8)可在96小时内体积翻四倍的眶隔室综合征的处理和结果的文献很少。高压氧已被报道是有益的,但患者可能需要眼眶减压来确定治疗。虽然含有气体的眼眶肺气肿很少威胁视力,但含有膨胀气体的眼眶肺气肿可导致眼眶室综合征和视力丧失。
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引用次数: 2
Ibn al-Haytham, the Arab who brought Greek optics into focus for Latin Europe 伊本·海瑟姆,这位阿拉伯人将希腊光学带入拉丁欧洲
Pub Date : 2019-04-12 DOI: 10.15406/aovs.2019.09.00344
R. McQuaid
Ibn al-Haytham remains an unknown figure in the development of optics from the ancient Greeks to Latin Europe. He put to rest the idea of visual rays being emitted from the eye, demonstrating vision occurs by intromission of light rays to the eye. Through observational experimentation he characterized the behavior of light and described many visual phenomena that are now considered visual perception. Ibn al-Haytham’s most significant work, Kitab al-Manazir was written in the eleventh century and was translated to Latin, as De aspectibus during the middle of the thirteenth century. Its introduction to Latin Europe stimulated the study of optics within the nascent universities of Europe and provided a model to conduct experiments and influenced natural philosophers for centuries.
从古希腊到拉丁欧洲,在光学的发展过程中,伊本·海瑟姆一直是一个不为人知的人物。他推翻了视觉光线是从眼睛发射出来的观点,证明视觉是通过光线射入眼睛而产生的。通过观察实验,他描述了光的行为,并描述了许多现在被认为是视觉感知的视觉现象。伊本·海瑟姆最重要的作品《基塔布·马纳齐尔》写于11世纪,并在13世纪中期被翻译成拉丁文,称为《De aspectibus》。它被引入拉丁欧洲,刺激了欧洲新兴大学对光学的研究,提供了一个进行实验的模型,并影响了几个世纪的自然哲学家。
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引用次数: 1
Nailfold capillaroscopy with a commercially available optical coherence tomography angiography for ophthalmic use 甲襞毛细血管镜与市售光学相干断层血管造影用于眼科
Pub Date : 2019-03-26 DOI: 10.15406/aovs.2019.09.00343
Shahab Shahipasand, Jibran Mohammed Noriega, D. Sim, C. Gizzi
Optical Coherence Tomography (OCT) has had a revolutionary impact in evaluation of anatomical structures of the eye and became an important part of everyday clinical practice and research14 Technological advances have enhanced various aspects of OCT images including scanning speed, resolution and measurement of vascular flow.9 Optical Coherence Tomography Angiography (OCTA) is an imaging modality that enables blood vessels to be visualised via motion contrast imaging of red blood cells moving across sequential B scans at a given cross-section.6 Originally designed for the retina, OCTA is also being established as a useful non-invasive tool in imaging cornea and anterior segment of the eye.15
光学相干断层扫描(OCT)对眼睛解剖结构的评估产生了革命性的影响,成为日常临床实践和研究的重要组成部分。技术的进步提高了OCT图像的各个方面,包括扫描速度、分辨率和血管流量的测量光学相干断层扫描血管造影(OCTA)是一种成像方式,通过连续B扫描在给定横切面上运动的红细胞的运动对比成像,使血管可视化最初是为视网膜设计的,OCTA也被确立为一种有用的非侵入性工具,用于角膜和眼睛前段的成像
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引用次数: 1
Effect of weight and height on intraocular pressure 体重和身高对眼压的影响
Pub Date : 2019-03-20 DOI: 10.15406/aovs.2019.09.00342
Fatima Iqbal, Hashim Ali Khan, Iqra Khalil, Mawra Zahid
Purpose: Purpose of this study is to determine the effect of weight and height on intraocular pressure (IOP) and to compare effect of height and weight on IOP in males and females. Methodology: This cross-sectional study was carried on 114 subjects through non-probability convenient sampling technique, both gender and age ranging from 15 to 30years who had not undergone any ocular surgery or medical treatment for hypertension glaucoma diabetes. The data collected from the patients at the department of ophthalmology during time of 8am-2pm in Madinah teaching hospital, Faisalabad in duration of 7months from January 2018 to August 2018. Data was collected after taking consent and extensive history. Visual acuity was tested by using Snellen chart and IOP measured by Air puff tonometer and weight measured by weight machine in Kgs and Height measured by Hight scale in feet. Data was noted on Performa. Data was analyzed by using test multiple linear regressions by using SPSS version 20. Result: Total number of studied individuals were 114, 48(42%) males and 66(57.9%) females with age ranges from 15-30 years. Weight and Height was measured and tested relation with IOP and gender by using Linear multiple regression test. Analysis shows that relation of weight and IOP is significant (p<0.001) with mean of IOP 17.432±3.4397 and weight 57.71±12.774. Weight is more affected the males then females statistically. Height and IOP weekly related statistically (p<.794) with mean of height and IOP 5.306±.2159 and 17.432±3.4397. Height is also weekly affect IOP in females then males. Conclusion: The weight is strongly affecting the IOP then height. Males have larger height and high weight so they affect the IOP more than females according to gender. In clinical practice it can allow to test IOP in highly weighted patients.
目的:本研究的目的是确定体重和身高对眼内压(IOP)的影响,并比较身高和体重对男女眼内压的影响。方法:采用非概率方便抽样方法,对114名未接受过高血压性青光眼糖尿病手术或药物治疗的15 ~ 30岁性别、年龄不限的受试者进行横断面研究。从2018年1月至2018年8月的7个月期间,从费萨拉巴德麦地那教学医院的眼科患者中收集的数据,时间为上午8点至下午2点。在征得同意和广泛的历史记录后收集数据。视敏度采用斯奈伦图,眼压计测量眼压,体重机测量体重,单位为公斤,身高用高尺测量,单位为英尺。数据记录在performance上。数据采用SPSS version 20检验多元线性回归分析。结果:研究个体114只,其中雄性48只(42%),雌性66只(57.9%),年龄15 ~ 30岁。采用线性多元回归检验体重、身高与眼压、性别的关系。体重与IOP的相关性显著(p<0.001), IOP平均值为17.432±3.4397,体重平均值为57.71±12.774。体重对男性的影响比女性更大。身高与每周IOP有统计学意义(p<.794),平均身高与IOP为5.306±。2159和17.432±3.4397。身高对女性IOP的影响也比男性大。结论:体重对眼压的影响大于身高。男性的身高和体重都较高,因此从性别上看,男性对IOP的影响要大于女性。在临床实践中,它可以用于测试高体重患者的IOP。
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引用次数: 0
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Advances in Ophthalmology &amp; Visual System
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