Abstract:
We report two cases of lacrimal obstruction after ocular infection with monkeypox virus (MPX) in the 2022 outbreak. One of them was a distal canalicular obstruction and the other was a proximal canalicular obstruction. In the first days of MPX they presented with conjunctivitis and periocular skin vesicles. Several months after the ophthalmic condition was cured, they showed persistence of epiphora, and the lacrimal problem was diagnosed. The photographs taken during the inflammation of the anterior pole were reviewed and vesicles located in the same area as the canalicular damage were observed. One patient underwent a canaliculodacryorhinostomy and the other an exploratory punctoplasty. Both surgical operations failed to restore normal tear flow. Lacrimal drainage disorders related to ocular MPX have not yet been described. And, in addition, these cases are the first relation of viral vesicular skin lesions and canalicular obstructions.
摘要:
我们报告了两例2022年爆发的猴痘病毒(MPX)眼部感染后的泪道阻塞病例。其中一个是远端小管阻塞,另一个是近端小管阻塞。在MPX的第一天,他们出现结膜炎和眼周皮肤囊泡。眼病治愈后几个月,他们表现出了持续的顿裂,泪道问题被诊断出来了.回顾了前极炎症期间拍摄的照片,并观察到位于与小管损伤相同区域的囊泡。一名患者接受了泪管鼻吻合术,另一名患者接受了探索性点滴成形术。两种外科手术均未能恢复正常的泪流。尚未描述与眼MPX相关的泪腺引流障碍。And,此外,这些病例是病毒性泡状皮损和泪小管阻塞的第一关系。