Ocular outcomes of toxoplasmosis in the Amazon-Cerrado transition zone, Brazil: a population-based study.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ana Paula Salamoni, Kelly Clair de Moura da Costa, Fernanda R Giachini, Alecsander F Bressan
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引用次数: 0

Abstract

Background: Eye damage represents one of the gravest outcomes of toxoplasmosis, potentially leading to varying degrees of vision impairment, up to and including blindness. Monitoring ophthalmological indicators in individuals affected by toxoplasmosis, alongside understanding its impact on visual acuity, can motivate the scientific community to advocate for strategies to prevent vision loss associated with toxoplasmosis.

Methods: This is a retrospective study analysing medical records and clinical documentation from patients at an ophthalmological clinic in a city located at the intersection of the Cerrado and Amazon Forest biomes.

Results: It was noted that >20% of patients exhibited visual acuity ≤20/200, a condition medically recognized as blindness for the affected eye. Our study highlights a significant portion of individuals experiencing lasting visual impairments due to toxoplasmosis.

Conclusions: These findings remain obscured by the existing national guidelines, which only mandate reporting for congenital and gestational toxoplasmosis cases, thereby overlooking sporadic manifestations and their consequential effects. The effort to identify ophthalmologic consequences is crucial both for personalized clinical care and for shaping national guidelines for managing toxoplasmosis.

巴西亚马逊-塞拉多过渡区弓形虫病的眼部后果:一项基于人群的研究。
背景:眼部损伤是弓形虫病最严重的后果之一,可能导致不同程度的视力损伤,甚至失明。监测弓形虫病患者的眼科指标,同时了解弓形虫病对视力的影响,可以促使科学界倡导预防弓形虫病相关视力损失的策略:这是一项回顾性研究,分析了位于塞拉多和亚马逊森林生物群落交汇处的一个城市眼科诊所的病历和临床文件:研究发现,超过 20% 的患者视力低于 20/200,医学上认定患眼失明。我们的研究表明,有相当一部分人因弓形虫病而出现持久的视力障碍:现有的国家指导方针只要求报告先天性和妊娠期弓形虫病病例,从而忽略了散发性表现及其后果,因此这些研究结果仍被掩盖。努力确定眼科后果对于个性化临床护理和制定国家弓形虫病管理指南都至关重要。
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来源期刊
Transactions of The Royal Society of Tropical Medicine and Hygiene
Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.00
自引率
9.10%
发文量
115
审稿时长
4-8 weeks
期刊介绍: Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.
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