弓形体病视网膜绒毛膜炎诊断的临床实验室评价

M. A. Poroshina, M.A. Yunina, E. Pedanova
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引用次数: 0

摘要

目的。探讨不同免疫状态下弓形虫病视网膜绒毛膜炎诊断的OCT特征。材料和方法。患者b、K,男44岁,女35岁,视力下降。进行了全面的眼科检查,包括最佳矫正视力检查(BCVA)、裂隙灯间接眼镜检查、显微视野检查、光学相干断层扫描(OCT)、OCT血管造影、眼底自体荧光(AF)检查。结果。根据患者的记忆、临床表现及OCT表现,诊断为弓形虫病视网膜绒毛膜炎。给予抗菌药物治疗。结论。尽管血清学阴性,但证实了视网膜绒毛膜炎的诊断。通过记忆、特殊临床表现和OCT特征进行诊断。关键词:眼弓形虫病,后葡萄膜炎,视网膜绒毛膜炎,光学相干断层扫描
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Clinical laboratory evaluation of the toxoplasmosis retinochorioiditis'diagnosis
Purpose. To present OCT features of toxoplasmosis retinochorioiditis'diagnosis in patients with different immune status. Material and methods. The patients B. and K., male 44 and female 35 years old, with a decrease of visual acuity. The comprehensive ophthalmologic examinations ware carried out, including the examination of best corrected visual acuity (BCVA), slit lamp indirect ophthalmoscopy, microperimetry, optical coherence tomography (OCT), OCT – angiography, fundus autofluorescence (AF). Results. According to the anamnesis, clinical findings and OCT features the toxoplasmosis retinochorioiditis was diagnosed. Treatment was administrated with antibacterial drugs. Conclusions. Despite of the negative serology, the toxoplasmosis retinochorioididtis diagnosis was proved. It was diagnosed by the anamnesis, specific clinical findings and OCT features. Keywords: ocular toxoplasmosis, posterior uveitis, retinochorioiditis, optical coherence tomography
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