Ocular screening in severe acute respiratory syndrome
Identifieur interne : 005221 ( Main/Exploration ); précédent : 005220; suivant : 005222Ocular screening in severe acute respiratory syndrome
Auteurs : Kenneth S. C. Yuen [République populaire de Chine] ; Wai-Man Chan [République populaire de Chine] ; Dorothy S. P. Fan [République populaire de Chine] ; Kelvin K. L. Chong [République populaire de Chine] ; Joseph J. Y. Sung [République populaire de Chine] ; Dennis S. C. Lam [République populaire de Chine]Source :
- American Journal of Ophthalmology [ 0002-9394 ] ; 2004.
Abstract
To investigate the ocular manifestations of patients with severe acute respiratory syndrome (SARS) and to monitor the possible ocular complications arising from the treatment regimen with high-dose systemic corticosteroid drugs.
Prospective, observational cohort case series.
Ninety eyes from 45 patients with the diagnosis of SARS during an epidemic outbreak in Hong Kong were analyzed. Relevant medical and ophthalmic histories were taken. Ophthalmic examinations, including best-corrected visual acuity, intraocular pressure, slit-lamp, and indirect ophthalmoscopy examination, were performed at baseline and at 2-month and 3-month follow-up.
Faculty practice in university hospital.
Only two patients had mild elevated intraocular pressure at baseline and at subsequent follow-up. There was no loss of visual acuity, cataract progression, or increased cup–disk ratio. Fundus examinations were unremarkable in all patients.
Our study did not demonstrate any ocular manifestations in patients with SARS. The treatment regimen of high-dose corticosteroid also did not show any significant ocular complications. Routine ocular screening of patients with SARS for diagnosis or for complications might not be indicated.
Url:
DOI: 10.1016/j.ajo.2003.09.060
PubMed: 15059730
PubMed Central: 7119409
Affiliations:
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C." last="Yuen">Kenneth S. C. Yuen</name><affiliation wicri:level="4"><nlm:aff id="AFF1">department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chan, Wai Man" sort="Chan, Wai Man" uniqKey="Chan W" first="Wai-Man" last="Chan">Wai-Man Chan</name><affiliation wicri:level="4"><nlm:aff id="AFF1">department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Fan, Dorothy S P" sort="Fan, Dorothy S P" uniqKey="Fan D" first="Dorothy S. P." last="Fan">Dorothy S. P. Fan</name><affiliation wicri:level="4"><nlm:aff id="AFF1">department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chong, Kelvin K L" sort="Chong, Kelvin K L" uniqKey="Chong K" first="Kelvin K. L." last="Chong">Kelvin K. L. Chong</name><affiliation wicri:level="4"><nlm:aff id="AFF1">department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Sung, Joseph J Y" sort="Sung, Joseph J Y" uniqKey="Sung J" first="Joseph J. Y." last="Sung">Joseph J. Y. Sung</name><affiliation wicri:level="4"><nlm:aff id="AFF2">Department of Medicine and Therapeutics (J.J.Y.S.), the Chinese University of Hong Kong, Kowloon, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medicine and Therapeutics (J.J.Y.S.), the Chinese University of Hong Kong, Kowloon, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Lam, Dennis S C" sort="Lam, Dennis S C" uniqKey="Lam D" first="Dennis S. C." last="Lam">Dennis S. C. Lam</name><affiliation wicri:level="4"><nlm:aff id="AFF1">department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>department of Ophthalmology and Visual Sciences (K.S.C.Y., D.S.C.L., W.-M.C., D.S.P.F., K.K.L.C.), the Chinese University of Hong Kong, Kowloon, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author></analytic><series><title level="j">American Journal of Ophthalmology</title><idno type="ISSN">0002-9394</idno><idno type="eISSN">1879-1891</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><p>To investigate the ocular manifestations of patients with severe acute respiratory syndrome (SARS) and to monitor the possible ocular complications arising from the treatment regimen with high-dose systemic corticosteroid drugs.</p></sec><sec><title>Design</title><p>Prospective, observational cohort case series.</p></sec><sec><title>Methods</title><p>Ninety eyes from 45 patients with the diagnosis of SARS during an epidemic outbreak in Hong Kong were analyzed. Relevant medical and ophthalmic histories were taken. Ophthalmic examinations, including best-corrected visual acuity, intraocular pressure, slit-lamp, and indirect ophthalmoscopy examination, were performed at baseline and at 2-month and 3-month follow-up.</p></sec><sec><title>Setting</title><p>Faculty practice in university hospital.</p></sec><sec><title>Results</title><p>Only two patients had mild elevated intraocular pressure at baseline and at subsequent follow-up. There was no loss of visual acuity, cataract progression, or increased cup–disk ratio. Fundus examinations were unremarkable in all patients.</p></sec><sec><title>Conclusions</title><p>Our study did not demonstrate any ocular manifestations in patients with SARS. The treatment regimen of high-dose corticosteroid also did not show any significant ocular complications. Routine ocular screening of patients with SARS for diagnosis or for complications might not be indicated.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kuiken, T" uniqKey="Kuiken T">T. Kuiken</name></author><author><name sortKey="Fouchier, R A" uniqKey="Fouchier R">R.A. Fouchier</name></author><author><name sortKey="Shutten, M" uniqKey="Shutten M">M. Shutten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y. Wang</name></author><author><name sortKey="Detrick, B" uniqKey="Detrick B">B. Detrick</name></author><author><name sortKey="Yu, Z X" uniqKey="Yu Z">Z.X. Yu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vinores, S A" uniqKey="Vinores S">S.A. Vinores</name></author><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y. Wang</name></author><author><name sortKey="Vinores, M A" uniqKey="Vinores M">M.A. Vinores</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ng, J S" uniqKey="Ng J">J.S. Ng</name></author><author><name sortKey="Wong, W" uniqKey="Wong W">W. Wong</name></author><author><name sortKey="Law, R W" uniqKey="Law R">R.W. Law</name></author><author><name sortKey="Hui, J" uniqKey="Hui J">J. Hui</name></author><author><name sortKey="Wong, E N" uniqKey="Wong E">E.N. Wong</name></author><author><name sortKey="Lam, D S" uniqKey="Lam D">D.S. Lam</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country><settlement><li>Sha Tin</li></settlement><orgName><li>Université chinoise de Hong Kong</li></orgName></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Yuen, Kenneth S C" sort="Yuen, Kenneth S C" uniqKey="Yuen K" first="Kenneth S. C." last="Yuen">Kenneth S. C. Yuen</name></noRegion><name sortKey="Chan, Wai Man" sort="Chan, Wai Man" uniqKey="Chan W" first="Wai-Man" last="Chan">Wai-Man Chan</name><name sortKey="Chong, Kelvin K L" sort="Chong, Kelvin K L" uniqKey="Chong K" first="Kelvin K. L." last="Chong">Kelvin K. L. Chong</name><name sortKey="Fan, Dorothy S P" sort="Fan, Dorothy S P" uniqKey="Fan D" first="Dorothy S. P." last="Fan">Dorothy S. P. Fan</name><name sortKey="Lam, Dennis S C" sort="Lam, Dennis S C" uniqKey="Lam D" first="Dennis S. C." last="Lam">Dennis S. C. Lam</name><name sortKey="Sung, Joseph J Y" sort="Sung, Joseph J Y" uniqKey="Sung J" first="Joseph J. Y." last="Sung">Joseph J. Y. Sung</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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