切换至 "中华医学电子期刊资源库"

中华实验和临床感染病杂志(电子版) ›› 2020, Vol. 14 ›› Issue (02) : 93 -98. doi: 10.3877/cma.j.issn.1674-1358.2020.02.002

所属专题: 文献

综述

人类免疫缺陷病毒/获得性免疫缺陷综合征相关性眼病的研究进展
吴苑妮1, 张健1, 宋心成1, 张瑞2, 王晓贞3,(), 李鑫4,()   
  1. 1. 100015 北京,北京大学地坛医院教学医院中西医结合中心
    2. 100015 北京,首都医科大学附属北京地坛医院中西医结合中心
    3. 100730 北京,首都医科大学附属北京同仁医院眼科中心
    4. 100015 北京,北京大学地坛医院教学医院中西医结合中心;100015 北京,首都医科大学附属北京地坛医院中西医结合中心
  • 收稿日期:2019-08-19 出版日期:2020-04-15
  • 通信作者: 王晓贞, 李鑫
  • 基金资助:
    十三五国家科技重大专项(No. 2017ZX10205501-001-002)

Research progress of human immunodeficiency virus/acquired immunodeficiency syndrome related ophthalmopathy

Yuanni Wu1, Jian Zhang1, Xincheng Song1, Rui Zhang2, Xiaozhen Wang3,(), Xin Li4,()   

  1. 1. Department of Center of Integrated Traditional Chinese and Western Medicine, Peking University Ditan Teaching Hospital, Beijing 100015, China
    2. Department of Center of Integrated Traditional Chinese and Western Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
    3. Department of Ophthalmologic Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
    4. Department of Center of Integrated Traditional Chinese and Western Medicine, Peking University Ditan Teaching Hospital, Beijing 100015, China; Department of Center of Integrated Traditional Chinese and Western Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
  • Received:2019-08-19 Published:2020-04-15
  • Corresponding author: Xiaozhen Wang, Xin Li
  • About author:
    Corresponding author: Li Xin, Email:
    Wang Xiaozhen, Email:
引用本文:

吴苑妮, 张健, 宋心成, 张瑞, 王晓贞, 李鑫. 人类免疫缺陷病毒/获得性免疫缺陷综合征相关性眼病的研究进展[J/OL]. 中华实验和临床感染病杂志(电子版), 2020, 14(02): 93-98.

Yuanni Wu, Jian Zhang, Xincheng Song, Rui Zhang, Xiaozhen Wang, Xin Li. Research progress of human immunodeficiency virus/acquired immunodeficiency syndrome related ophthalmopathy[J/OL]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2020, 14(02): 93-98.

获得性免疫缺陷综合征(AIDS)是由人类免疫缺陷病毒(HIV)引起的、具有高病死率、高传播率的后天获得性免疫缺陷疾病。HIV主要侵犯人体免疫系统,靶向攻击CD4+ T淋巴细胞,使其数量进行性减少(< 200个/μl或低于总淋巴细胞的14%),易引发机会性感染和恶性肿瘤。近年来,随着社会的发展和人们观念意识的变化,HIV/AIDS患者病例数逐渐增多,相应的HIV/AIDS相关性眼部并发症的发生率亦逐渐增高。与一般眼部疾病相比,HIV/AIDS相关性眼病的临床表现特殊,治疗困难。本文对HIV/AIDS几种常见眼部疾病展开综述,对其最新研究进展进行总结,以期能够更加全面地了解此类疾病,及时准确地诊断病情以及合理地指导治疗,从而改善患者视力,减少痛苦,提高其生存质量。

Acquired immunodeficiency syndrome (AIDS) is an acquired immunodeficiency disease caused by human immunodeficiency virus (HIV) infection, with high mortality and transmission rate. HIV mainly invades the human immune system, targetting CD4+ T lymphocyte, making its number progressively reduced (< 200/ml or < 14% of total lymphocyte), and susceptible to opportunistic infections and malignant tumors. In recent years, with the development of society and the change of people’s concept and consciousness, the number of HIV/AIDS patients had gradually increased, and HIV/AIDS-related ocular complications had also gradually increased. Compared with general eye diseases, the clinical manifestations of AIDS-related ophthalmopathy are special and difficult to treat. This article reviewed several common eye diseases in HIV/AIDS and summarized the latest progress, in order to acquire more comprehensive understanding of these diseases, timely and accurate diagnosis and guiding treatment reasonably, to improve patients’ vision, reduce the pain and improve the quality of patients’ life.

[20]
Huang G, Jiang Q, Li M, et al. Retrospective study of cytomegalovirus retinitis complicated with acquired immunodeficiency syndrome[J]. Int J Clin Exp Med,2015,8(6):9537-9542.
[21]
Holland GN, Vaudaux JD, Jeng SM, et al. Characteristics of untreated AIDS-related cytomegalovirus retinitis. I. findings before the era of highly active antiretroviral therapy (1988 to 1994)[J]. Am J Ophthalmol,2008,145(1):5-11.
[22]
Holland GN, Shuler JD. Progression rates of cytomegalovirus retinopathy in ganciclovir-treated and untreated patients[J]. Arch Ophthalmol,1992,110(10):1435-1442.
[23]
Spaide RF, Vitale AT, Toth IR, et al. Frosted branch angiitis associated with cytomegalovirus retinitis[J]. Am J Ophthalmol,1992,113(5):522- 528.
[24]
Ruiz-Cruz M, Avila-Rios S, Ormsby CE, et al. Cytokine profiles in aqueous humor and plasma of HIV-infected individuals with ocular syphilis or cytomegalovirus retinitis[J]. Ocul Immunol Inflamm,2018,26(1):74-81.
[25]
叶俊杰,李海燕,孙鼎, 等. 获得性免疫缺陷综合征并发巨细胞病毒性视网膜炎的临床分析[J]. 中华眼科杂志,2005,41(9):803-806.
[26]
Huang R, Huang HY, Xing YQ, et al. Ocular complications of HIV infection[J]. Int Eye Sci,2018,18(8):1411-1415.
[27]
Buggage RR, Chan CC, Matteson DM, et al. Apoptosis in cytomegalovirus retinitis associated with AIDS[J]. Curr Eye Res,2000,21(3):721-729.
[28]
Sezgin E, Natta MLV, Ahuja A, et al. Association of host genetic risk factors with the course of cytomegalovirus retinitis in patients infected with human immunodeficiency virus[J]. Am J Ophthalmol, 2011,151(6):999-1006. e4.
[29]
Ruiz-Cruz M, Ávila-Rios S, Ormsby CE, et al. Cytokine profiles in aqueous humor and plasma of HIV-infected individuals with ocular syphilis or cytomegalovirus retinitis[J]. Immunlo Inflamm,2018,26(1):74-81.
[30]
Simmons RP, Scully EP, Groden EE, et al. HIV-1 infection induces strong production of IP-10 through TLR7/9-dependent pathways[J]. AIDS,2013,27(16):2505-2517.
[31]
Stiksrud B, Lorvik KB, Kvale D, et al. Plasma IP-10 is increased in immunological nonresponders and associated with activated regulatory T cells and persisting low CD4 counts[J]. J AIDS,2016,73(2):138-148.
[32]
Abu El-Asrar AM, Struyf S, Descamps FJ, et al. Chemokines and gelatinases in the aqueous humor of patients with active uveitis[J]. Am J Ophthalmol,2004,138(3):401-411.
[33]
Chan AS, Mehta JS, Al-Jajeh I, et al. Histological features of cytomegalovirus-related corneal graft infections, its associated features and clinical significance[J]. Br J Ophthalmol,2016,100(5):601-606.
[34]
Scholz M, Doerr HW, Cinatl J. Human cytomegalovirus retinitis: pathogenicity, immune evasion and persistence[J]. Trends Microbiol,2003,11(4):171-178.
[35]
Abe T, Sato M, Saigo Y, et al. Interferon gamma expression and clinical features in patients with acute retinal necrosis syndrome[J]. Graefes Arch Clin Exp Ophthalmol,2003,241(12):982-987.
[36]
Sugar EA, Jabs DA, Ahuja A, et al. Incidence of cytomegalovirus retinitis in the era of highly active antiretroviral therapy[J]. Ophthalmology,2012,153(6):1016-1024.
[37]
杨娅玲,江睿,何太雯, 等. 获得性免疫缺陷综合征合并巨细胞病毒视网膜炎80例患者的临床特点[J]. 中华眼科杂志,2014,50(3):197-202.
[38]
孙挥宇,李丹,毛菲菲,等. 获得性免疫缺陷综合征合并巨细胞病毒性视网膜炎的特殊眼底病变特征[J]. 中华眼底病杂志,2014, 30(3):309-311.
[39]
Leeamornsiri S, Choopong P, Tesavibul N. Frosted branch angiitis as a result of immune recovery uveitis in a patient with cytomegalovirus retlnitis[J]. Ophthalmic Inflamm Infect,2013,3(1):52.
[40]
谭顺,姜学松,黄正谷, 等. 193例HIV/AIDS合并视网膜炎的临床特征分析[J]. 第三军医大学学报,2018,40(6):513-518.
[41]
Mochizuki M, Sugita S, Kamoi K, et al. A new era of uveitis: impact of polymerase chain reaction in intraocular inflammatory diseases[J]. Jap J Ophthalmol,2017,61(1):1-20.
[42]
Reddy AK, Balne PK, Reddy RK, et al. Development and evaluation of loop-mediated isothermal amplification assay for rapid and inexpensive detection of cytomegalovirus DNA in vitreous specimens from suspected cases of viral retinitis[J]. J Clin Microbiol,2010,48(6):2050-2052.
[43]
Ittner EA, Bhakhri R, Newman T. Necrotising herpetic retinopathies:a review and progressive outer retinal necrosis case report[J]. Clin Exp Optom,2016,99(1):24-29.
[44]
Ozgonul C, Besirli CG. Recent developments in the diagnosis and treatment of ocular toxoplasmosis[J]. Ophthalmic Res,2017,57(1):1-12.
[45]
Cordeiro CA, Vieira E, Castro VM, et al. T cell immunoregulation in active ocular toxoplasmosis[J]. Immunol Let,2017,184:84-91.
[46]
Sugita S, Ogawa M, Inoue S, et al. Diagnosis chain reaction (PCR) examinations: qualitative multiplex and quantitative real-time[J]. Jpn J Ophthalmol,2011,55(5):495-501.
[47]
Oheilian M, Ramezani A, Azimzadeh A, et al. Randomized trial of intravitreal clindamycin and dexamethasone versus pyrimethamine, sulfadiazine, and prednisolone in treatment of ocular toxoplasmosis[J]. Ophthalmology,2011,118(1):134-141.
[48]
Bosch-Driessen LH, Verbraak FD, Suttorp-Schulten MS, et al. A prospective, randomized trial of pyrimethamine and azithromycin vs. pyrimethamine and sulfadiazine for the treatment of ocular toxoplasmosis[J]. Am J Ophthalmol,2002,134(1):34-40.
[49]
Silveira C, Belfort R, Muccioli C, et al. The effect of long-term intermittent trimethoprim/sulfamethoxazole treatment on recurrences of toxoplasmic retinochoroiditis[J]. Am J Ophthalmol,2002,134(1):41-46.
[1]
Centers for Disease Control. Pneumocystis pneumonia--Los Angeles[J]. MMWR Morb Mortal Wkly Rep,1981,30(21):250-252.
[2]
中国疾病预防控制中心,性病艾滋病预防控制中心,性病控制中心. 2018年2月全国艾滋病性病疫情[J]. 中国艾滋病性病,2018,24(4):321-321.
[3]
毛菲菲,孙挥宇,李丹, 等. 获得性免疫缺陷综合征合并人类免疫缺陷病毒视网膜病变的眼底病变特征分析[J]. 中华眼底病杂志,2012,28(6):585-587.
[50]
Felix JP, Lira RP, Zacchia RS, et al: Trimethoprim-sulfamethoxazole versus placebo to reduce the risk of recurrences of Toxoplasma gondii retinochoroiditis: randomized controlled clinical trial[J]. Am J Ophthalmol,2014,157(4):762-766. e1.
[51]
Ittner EA, Bhakhri R, Newman T. Necrotising herpetic retinopathies: a review and progressive outer retinal necrosis case report[J]. Clin Exp Optom,2016,99(1):24-29.
[52]
Sfeir M. Cytomegalovirus implicated in a case of progressive outer retinal necrosis (PORN)[J]. J Clin Virol,2015,69:86-90.
[4]
Port AD, Orlin A, Kiss S, et al. Cytomegalovirus retinitis: A review[J]. J Ocul Pharmacol Ther,2017,33(4):224-234.
[5]
肖江,何宏宇,韩宁, 等. 艾滋病患者眼科临床特点分析[J]. 北京医学,2011,33(6):470-473.
[6]
Huang Q. Nursing intervention for aids patients complicating cytomegalovirus retinitis[J]. Clinl Med Engin,2016,23(4):533-534.
[53]
Schoenberger SD, Kim SJ, Thorne JE, et al. Diagnosis and treatment of acute retinal necrosis: A report by the American Academy of Ophthalmology[J]. Ophthalmology,2017,124(3):382-392.
[54]
张伟,马成杰,张健, 等. 实时荧光定量聚合酶链式反应在获得性免疫缺陷综合征合并水痘-带状疱疹病毒感染中的应用[J/CD]. 中华实验和临床感染病杂志(电子版), 2019,13(4):340-343.
[55]
钱芳,田地,王琳, 等. 合并人免疫缺陷病毒感染的神经梅毒患者临床特点及诊治[J/CD]. 中华实验和临床感染病杂志(电子版),2017,11(2):151-155.
[7]
Nishijima T, Yashiro S, Teruya K, et al. Routine eye screening by an ophthalmologist is clinically useful for HIV-1-infected patients with CD4 count less than 200/µl[J]. PloS One,2015,10(9):e0136747.
[8]
卢祥婵,欧汝志. HIV相关眼底病研究进展[J]. 右江民族医学院学报,2010,32(4):603-606.
[9]
耿爽,叶俊杰,刘丽秋, 等. 人类免疫缺陷病毒感染及获得性免疫缺陷综合征患者眼部病变的诊断与治疗[J]. 中华眼科杂志,2009,45(12):1093-1098.
[56]
Tucker JD, Li JZ, Robbins GK, et al. Ocular syphilis among HIV infected patients: a systematic analysis of the literature[J]. Sex Transm Infect,2011,87(1):4-8.
[57]
Henderly DE, Freeman WR, Causey DM, et al. Cytomegalovirus retinitis and response to therapy with ganciclovir[J]. Ophthalmology, 1987,94(4):425-434.
[58]
Jabs DA. Ocular manifestations of HIV infection[J]. Trans Am Ophthalmol Soc,1995,93:623-683.
[10]
Cunningham ET, Levinson RD, Jampol LM, et al. Ischemic maculopathy in patients with acquired immunodeficiency syndrome[J]. Am J Ophthalmol,2001,132(5):727-733.
[11]
Plummer DJ, Bartsch DU, Azen SP, et al. Retinal nerve fiber layer evaluation in human immunodeficiency virus positive patients[J]. Am J Ophthalmol,2001,131(2):216-222.
[12]
陈之昭,张梅. 获得性免疫缺陷综合征的眼部表现[J]. 中华眼科杂志,2005,41(6):563-571.
[59]
Vrabec TR. Posterior segment manifestations of HIV/AIDS[J]. Surv Ophthalmol,2004,49(2):131-157.
[60]
Gonzales CA, Scott IU, Chaudhry NA, et al. Endogenous endophthalmitis caused by histoplasma eapsulatum VaT. cap. Sulaturn: a case report and literature review[J]. Ophthalmology, 2000,107(4)):725-729.
[61]
胡志亮,郑立冲,池云, 等. 积极控制颅内高压逆转HIV相关隐球菌性脑膜炎所致严重视力损害一例及文献复习[J/CD]. 中华实验和临床感染病杂志(电子版),2017,11(6):617-621.
[13]
Jiramongkolchai K, Liu T, Arevalo JF. Peripheral retinal neovascularization with vitreous hemorrhage in HIV retinopathy[J]. Case Rep Ophthalmol,2017,8(2):353-357.
[14]
Chen C, Guo CG, Meng L, et al. Comparative analysis of cytomegalovirus retinitis and microvascular retinopathy in patients with acquired immunodeficiency syndrome[J]. Int J Ophthalmol, 2017,10(9):1396-1401.
[15]
张路坤,王辉,孙丽琴, 等. 431例HIV/AIDS患者巨细胞病毒感染情况的调查分析[J/CD]. 中华实验和临床感染病杂志(电子版),2013,7(2):214-218.
[62]
Dore GJ, Li Y, McDonald A, et al. Impact of highly active antiretroviral therapy on individual AIDS-defining illness incidence and survival in Australia[J]. J Acquir Immune Defic Syndr,2002,29(4):388-395.
[63]
Canzano JC, Morse LS, Wendel RT. Surgical repair of cytomegalovirus-related retinal detachment without silicone oil in patients with AIDS[J]. Retina,1999,19(4):274-280.
[64]
Remick SC, Sedransk N, Haase RF, et al. Oral combination chemotherapy in conjunction with filgrastim (G-CSF) in the treatment of AIDS-related non-Hodgkin’s lymphoma: evaluation of the role of G-CSF; quality-of-life analysis and longterm follow-up[J]. Am J Hematol,2001,66(3):178-188.
[16]
Port AD, Orlin A, Kiss S, et al. Cytomegalovirus retinitis: A review[J]. J Ocul Pharmacol Ther,2017,33(4):224.
[17]
Jabs DA, Ahuja A, Van Natta ML, et al. Long-term outcomes of cytomegalovirus retinitis in the era of modern antiretroviral therapy: results from a United States Cohort[J]. Ophthalmology, 2015,122(7):1452-1463.
[18]
Jabs DA, VanNatta ML, Holbrook JT, et al. Longitudinal study of the ocular complications of AIDS: 1. ocular diagnoses at enrollment[J]. Ophthalmology,2007,114(4):780-786.
[19]
叶俊杰. HIV/AIDS的眼部表现[J]. 继续医学教育,2006,20(21):34-39.
[65]
Filipe SN, Joana B, João CDC, et al. Kaposi’s sarcoma of the conjunctiva and the eyelid leads to the diagnosis of human immunodeficiency virus infection--a case report[J]. BMC Cancer,2018,18(1):708.
[66]
Sarraf D, Ernest JT. AIDS and the eyes[J]. Lancet,1996,348:525-528.
[67]
杜葵芳,郭纯刚.艾滋病相关性眼底病[J].中国医刊,2018,53(8):854-857.
[68]
叶俊杰,赵家良,刘小伟, 等. 获得性免疫缺陷综合征患者眼房水中检测到人类免疫缺陷病毒一例[J]. 中华眼科杂志,2011,47(5):458-459.
[69]
Han Y, Wu N, Zhu W, et al. Detection of HIV-1 viruses in tears of patients even under long-term HAART[J]. AIDS,2011,25(15):1925-1927.
[1] 杨桂清, 孟静静. 哺乳期亚临床乳腺炎的研究进展[J/OL]. 中华乳腺病杂志(电子版), 2024, 18(06): 376-379.
[2] 丁兴欢, 王小永, 李风志, 梁博, 冯恩山. 颅内外血管搭桥联合贴敷治疗慢性颈内动脉闭塞的人类免疫缺陷病毒感染者一例及文献复习[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(05): 314-319.
[3] 熊企秋, 邢卉春, 李宝亮, 王杨, 贾哲, 张珂, 黄容海, 蒋力. 人类免疫缺陷病毒感染对肛瘘患者接受切开挂线术治疗预后的影响[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(05): 303-308.
[4] 丁科, 张亚琼, 刘杰, 邓莉平, 张永喜, 熊勇. 获得性免疫缺陷综合征相关淋巴瘤患者的临床特征及生存状况的变化趋势[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(05): 278-284.
[5] 吴令杰, 陈瑞烈, 肖湘明, 郭耿龙, 林钟滨, 张海生, 周敏, 陈妙华. 2005至2021年广东省汕头市某综合医院人类免疫缺陷病毒感染/获得性免疫缺陷综合征患者流行病学特征及高效抗逆转录病毒治疗后生存状况影响因素[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(04): 207-214.
[6] 戚仕轩, 阮连国. 人类免疫缺陷病毒感染快速启动抗逆转录病毒治疗研究及模式探索[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(04): 193-199.
[7] 曾雪灵, 杨思园, 常宇飞, 赵红心, 王凌航. 176例人类免疫缺陷病毒合并肺部感染者呼吸道病原体特点与免疫学特征[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(03): 142-148.
[8] 刘杰, 宋世会, 邹诗, 骆名其, 梁科. 获得性免疫缺陷综合征合并内脏利什曼病并发噬血细胞综合征一例[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(02): 117-121.
[9] 陈珂, 孙挥宇. 人类免疫缺陷病毒感染/获得性免疫缺陷综合征患者非感染性相关眼病研究进展[J/OL]. 中华实验和临床感染病杂志(电子版), 2023, 17(06): 395-399.
[10] 叶俊杰, 胡波涌. 人类免疫缺陷病毒感染者限期骨折内植物手术并发症的影响因素[J/OL]. 中华实验和临床感染病杂志(电子版), 2023, 17(06): 423-430.
[11] 张玉, 薛文瑞, 王鑫, 李旭瑜, 王旭东, 袁鹏飞, 梁雨润, 韩志兴, 张海建, 刘庆军, 纪世琪. 人类免疫缺陷病毒感染合并膀胱癌14例临床特点[J/OL]. 中华实验和临床感染病杂志(电子版), 2023, 17(05): 354-358.
[12] 周恩竹, 刘敏, 万秋, 刘静文, 唐莉歆. 慢性阻塞性肺疾病与获得性免疫缺陷综合征共病的临床特征分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(01): 78-82.
[13] 李新星, 方晏红, 陈会振, 张蓝月, 刘涵. 维生素D与眼病关系的研究进展[J/OL]. 中华眼科医学杂志(电子版), 2023, 13(06): 366-370.
[14] 马瑞, 徐文芹, 李月月, 胡至察, 张国禄, 吴畏, 胡健, 马建民, 杨新吉. 非开眶小切口内外壁均衡减压术治疗甲状腺相关眼病的临床观察[J/OL]. 中华眼科医学杂志(电子版), 2023, 13(05): 268-272.
[15] 李佳佳, 李凌华, 吕诗韵, 冯凯, 刘琳珊, 钟海丹, 颜婵, 刘聪. 广州市病毒学抑制失败HIV/AIDS患者的耐药特征及影响因素分析[J/OL]. 中华卫生应急电子杂志, 2024, 10(04): 207-212.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?