视神经炎是疱疹病毒持续感染的一种表现形式的诊断和治疗:一个临床病例

J. Issakhanova, A. K. Duisenova, A. Z. Kurmasheva, D. E. Zhumabek
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摘要

本文介绍了一名 63 岁患者双侧降视神经炎的临床病例。患者的年龄超出了该病症的正常范围,之前曾因右眼神经炎接受过治疗,但效果不佳,导致视神经(ON)完全萎缩。及时对左眼进行正确诊断,发现视神经结构紊乱并伴有脑组织的病毒性炎症变化,这是选择适当治疗的关键因素,有助于保留视觉功能。临床观察结果表明,视网膜炎症具有多病因性质,其中病毒起着主导作用。重要的是,疱疹病毒感染的眼部表现可能在很长一段时间内都是这种病变的唯一征兆,因此眼科医生必须时刻警惕疾病的病毒起源。
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Diagnosis and treatment of optic neuritis as a manifestation of persistent herpesvirus infection: a clinical case
A clinical case of bilateral descending optic neuritis in a 63-year-old patient is presented. The patient, whose age is beyond the normal limit for this pathology, was previously treated for neuritis of the right eye, which had no effect and led to a complete atrophy of the optic nerve (ON). A timely correct diagnostics of the left eye, which revealed structural disorders of the optic nerve accompanied by inflammatory viral changes of brain tissue, was a key factor in choosing an adequate treatment, which helped retain visual functions. The clinical observation illustrates the polyetiological nature of inflammation of the ON, the viral agent playing a leading role. Importantly, ophthalmic manifestations of the herpesvirus infection may remain the only sign of this pathology for a long time, so the ophthalmologist must always be on the alert regarding the viral genesis of the disease.
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