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沙眼

最后审阅: 10 Nov 2024
最后更新: 31 Dec 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 睑板(眼睑下)结膜炎症
  • 睑板下滤泡
  • 下结膜瘢痕形成
  • 倒睫(任何眼球部分接触 1 根或多根睫毛)
  • 角膜混浊和视力丧失
  • 赫伯特氏小窝(角膜缘周围的小窝)
完整详情

其他诊断因素

  • 无症状
  • 眼和鼻分泌物
  • 红眼
  • 让人痛苦的流泪
  • 角膜缘(角膜和巩膜交界处)滤泡
  • 血管翳(血管蔓延到透明角膜上)
完整详情

危险因素

  • 儿童(活动性感染)
  • 面部卫生不佳
  • 女性
  • 贫穷
  • 社区卫生不佳
  • 居住在流行区或从流行区迁出
完整详情

诊断性检查

首要检查

  • 临床诊断
完整详情

需考虑的检查

  • 聚合酶链反应(结膜拭子)
完整详情

新兴检查

  • 床边结膜拭子浸渍片检测

治疗流程

急症处理

资源贫乏的流行区:基于活动性沙眼的患病率

资源丰富的非流行区:感染的个体和家人接触

持续性治疗

资源贫乏的流行区:沙眼性倒睫

资源丰富的非流行区:沙眼性倒睫

撰稿人

作者

Van Charles Lansingh, MD, PhD

Help Me See Chief Medical Officer

Director of International Relations

IMO (Mexican Institute of Ophthalmology)

Santiago de Queretaro

Mexico

利益声明

VCL declares that he has no competing interests.

Kelly Callahan, MPH

Director

Trachoma Control Program

The Carter Center

Atlanta

GA

利益声明

KC declares that she has no competing interests.

Paul Emerson, PhD, MSc

Director

International Trachoma Initiative

Decatur

GA

利益声明

PE declares that he has no competing interests.

鸣谢

Dr Van Charles Lansingh, Ms Kelly Callahan, and Dr Paul Emerson wish to gratefully acknowledge Dr Heathcote R. Wright and Dr Hugh R. Taylor, previous contributors to this topic. HRW and HRT are authors of a number of references cited in the topic.

同行评议者

Matthew Burton, BChir

Lecturer

International Centre for Eye Health

London School of Hygiene and Tropical Medicine

London

UK

利益声明

MB declares that he has no competing interests.

Victor Perez, MD

Assistant Professor

Miller School of Medicine

Bascom Palmer Eye Institute

University of Miami

Miami

FL

利益声明

VP declares that he has no competing interests.

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