Ocular screening in severe acute respiratory syndrome
Identifieur interne : 001579 ( Pmc/Checkpoint ); précédent : 001578; suivant : 001580Ocular 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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<idno type="ISSN">0002-9394</idno>
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<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>
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<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>
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<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>
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<pmc article-type="brief-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Ophthalmol</journal-id>
<journal-id journal-id-type="iso-abbrev">Am. J. Ophthalmol</journal-id>
<journal-title-group><journal-title>American Journal of Ophthalmology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0002-9394</issn>
<issn pub-type="epub">1879-1891</issn>
<publisher><publisher-name>Elsevier Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">15059730</article-id>
<article-id pub-id-type="pmc">7119409</article-id>
<article-id pub-id-type="publisher-id">S0002-9394(03)01148-6</article-id>
<article-id pub-id-type="doi">10.1016/j.ajo.2003.09.060</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Ocular screening in severe acute respiratory syndrome</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Yuen</surname>
<given-names>Kenneth S.C.</given-names>
</name>
<degrees>MRCS</degrees>
<xref rid="AFF1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chan</surname>
<given-names>Wai-Man</given-names>
</name>
<degrees>MRCP, FRCS</degrees>
<email>cwm6373@netvigator.com</email>
<xref rid="AFF1" ref-type="aff">a</xref>
<xref rid="COR1" ref-type="corresp">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fan</surname>
<given-names>Dorothy S.P.</given-names>
</name>
<degrees>FRCS</degrees>
<xref rid="AFF1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chong</surname>
<given-names>Kelvin K.L.</given-names>
</name>
<degrees>MRCS</degrees>
<xref rid="AFF1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sung</surname>
<given-names>Joseph J.Y.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="AFF2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lam</surname>
<given-names>Dennis S.C.</given-names>
</name>
<degrees>FRCS, FRCOphth</degrees>
<xref rid="AFF1" ref-type="aff">a</xref>
</contrib>
</contrib-group>
<aff id="AFF1"><label>a</label>
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</aff>
<aff id="AFF2"><label>b</label>
Department of Medicine and Therapeutics (J.J.Y.S.), the Chinese University of Hong Kong, Kowloon, Hong Kong, China</aff>
<author-notes><corresp id="COR1"><label>*</label>
Inquiries to Wai-Man Chan, MRCP, FRCS, Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Hong Kong Eye Hospital, 147K, Argyle St, Kowloon, Hong Kong, China; fax: (+852) 2648-2943; <email>cwm6373@netvigator.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>30</day>
<month>3</month>
<year>2004</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>4</month>
<year>2004</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>3</month>
<year>2004</year>
</pub-date>
<volume>137</volume>
<issue>4</issue>
<fpage>773</fpage>
<lpage>774</lpage>
<history><date date-type="accepted"><day>25</day>
<month>9</month>
<year>2003</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2004 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2004</copyright-year>
<copyright-holder>Elsevier Inc.</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract><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>
</abstract>
</article-meta>
</front>
</pmc>
<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>
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<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>
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