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对 2 6例带状疱疹性眼病的特点及其与 AIDS病关系进行研究 ,以期对其并发症进行合理治疗 ,减轻视功能损害。患者年龄为2 3— 5 6岁 ,平均 3 3岁 ,男女各 13例。常见眼部并发症为角膜炎和前葡萄膜炎 ,其发生率分别为 69.2 3 %和 5 3 .85 %。其他并发症有继发青光眼 15 .3 8% ,白内障 11.5 4 % ,视神经炎 3 .84 % ,眼外肌麻痹 11.5 4 % ,疱疹后神经痛 3 0 .7%。 2 0例病人 ( 76.92 % )产生永久性视力损害 ,视力低于 0 .5者 14例 ( 5 3 .84 % )。 10例病人行血清 HIV检测均为阳性 ,其中 8例合并有 AIDS病相关全身表现。与 AIDS病有关的带状疱疹性眼病多发生在年轻患者 ,眼部并发症发生率高且重 ,治疗困难 ,视力损害明显 ,它不仅是AIDS病的常见并发症 ,也是最早期表现之一。
The characteristics of 26 cases of herpes zoster ophthalmopathy and its relationship with AIDS were studied in order to treat its complications and reduce the impairment of visual function. Patients aged 2 3- 5 6 years old, average 33 years old, 13 men and women in each. Common ocular complications of keratitis and anterior uveitis, the incidence rates were 69.2 3% and 53.85%. Other complications were secondary glaucoma 15.38%, cataract 11.5 4%, optic neuritis 3 .84%, extratropical palsy 11.5 4%, postherpetic neuralgia 30.7%. Twenty patients (76.92%) had permanent visual impairment, and visual acuity was lower than 0.5 in 14 cases (53.84%). Serum HIV tests were positive in all 10 patients, of whom 8 were associated with AIDS-related systemic manifestations. Occurrence of AIDS-related shingles eye disease occurred in young patients, the high incidence of ocular complications and weight, treatment difficulties, visual impairment, it is not only a common complication of AIDS disease is one of the earliest manifestations.