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jama ophthalmology 在國家衛生研究院-論壇 Facebook 的最佳解答

2020-10-05 21:00:02 有 14 人按讚

➥【每日戴眼鏡和新冠肺炎罹病風險的相關性研究】：眼球表面富含SARS-CoV-2受體angiotensin converting enzyme 2 (ACE-2)，眼睛接觸也被認為是SARS-CoV-2進入人體的途徑之一。
　　
一般人通常每小時會不自主觸摸眼睛10次左右，戴眼鏡則可減少手接觸眼睛的機會。此文為湖北隨州市曾都醫院的研究報告，探討每天戴眼鏡是否可以降低新冠肺炎的罹病風險。
　　
■ 研究發現：
在276位新冠肺炎住院患者中，有16位(5.8%) (95% CI, 3.0%-8.6%)因近視每天戴眼鏡。另一方面，統計資料顯示湖北省同年齡民眾中，高達31.5%罹患近視(假設這些近視者都有戴眼鏡)。由於新冠肺炎住院患者戴眼鏡比例遠小於一般民眾，因此推論戴眼鏡可降低新冠肺炎的罹病風險。
　　
不過作者也提到此研究有許多限制，包括... 完整轉譯文章，詳連結：http://forum.nhri.org.tw/covid19/virus/j_translate/j2050/ (財團法人國家衛生研究院吳綺容醫師摘要整理)
　　
📋 JAMA Ophthalmology - 2020-09-16
Association of Daily Wear of Eyeglasses With Susceptibility to Coronavirus Disease 2019 Infection
■ Author：Weibiao Zeng, Xiaolin Wang, Junyu Li, et al.
■ Link：https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2770872
　　
〈國家衛生研究院-論壇〉
➥ COVID-19學術資源-轉譯文章 - 2020/10/05
衛生福利部
疾病管制署 - 1922防疫達人
疾病管制署

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國家衛生研究院-論壇

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近年台灣面臨人口老化、少子化、人口移動頻繁、貧富差距的社會現象，為因應此現象，政府成立衛生福利部，以有效彙整醫藥衛生與社會福利之資源與服務，提供整合性的服務措施及全方位的照護體系，給予民眾多方向的全人服務。完整說明，詳：https://bit.ly/3bjItNv )

國衛院論壇提供溝通平台，結合國內外專業人力，針對衛生醫療及社會福利問題之探討與增進國民健康福祉。

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By Dr Jim的營養資訊粉絲團

2016-10-29 11:17:15 有 4 人按讚

According to a prospective study published in JAMA Ophthalmology, people aged 55 years or older with type 2 diabetes who eat at least 2 weekly servings of oily fish may prevent or delay sight-threatening diabetic retinopathy (DR) in addition to reducing their risk of cardiovascular disease.

The study involving patients with diabetes was conducted within the randomized clinical trial Prevencion con Dieta Mediterranea (PREDIMED), which tested Mediterranean diets supplemented with extra virgin olive oil or nuts versus a control diet for primary cardiovascular disease prevention.

People aged 55 years or older with type 2 diabetes who eat at least 2 weekly servings of oily fish may prevent or delay sight-threatening diabetic retinopathy (DR) in addition to reducing their risk of cardiovascular disease.

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Dr Jim的營養資訊粉絲團

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營養好，就得志(德志) 臺北醫學大學保健營養學系博士所經營的營養資訊分享網頁，團隊成員還包括臨床營養師(青菜與Queen)、熱愛旅遊與美食的Miss Sunshine為大家隨時更新國內外最新的營養資訊，同時提供生活相關的營養大小事!

營養好，就得志(德志Te-Chih) 即時分享國內外準確與最新的營養健康訊息。

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By 眼科陳慶隆醫師-視網膜的大小事

2016-02-12 10:33:04 有 69 人按讚

茲卡病毒（Zika virus）並不是只有造成新生兒小頭症而已，也會引起視網路病變而導致視力嚴重受損

在最新一期眼科期刊JAMA Ophthalmology中有發表茲卡病毒相關的重要發現，最近讓全世界都非常矚目與害怕的茲卡病毒並不是只有造成新生兒小頭症（Microcephaly）而已，也會引起眼睛的異常病變而導致視力受損。

巴西的研究團隊（Roberto Santos General Hospital in Salvador, Brazil.）發現在29位確定感染茲卡病毒而患有小頭症的新生兒當中有10位有視網膜及眼神精的病變。關於是否可能是其他感染造成眼病變，研究人員已經進行所有相關的檢查，已經排除其他可能的感染像是 rubella 或 toxoplasmosis。

在10位罹患眼科視網病變中，有7位患者兩眼皆受影響，常見的視網膜病變有局部斑狀色素性病變以及大範圍視網膜組織的損壞（The most common problems were black speckled lesions in the back of the eye, large areas of tissue damage in the retina itself, or damage in the layer of blood vessels and tissue below the retina.）

研究團隊表示，目前只能觀察到視網膜的相關病變，詳細的病理機轉現在並不清楚。視網膜的病變並不能治療，一旦損壞就是永久性的，所以研究人員建議愈早診斷愈好。
本篇論文的資深作者（Dr. Rubens Belfort Jr., the paper’s senior author and a professor of ophthalmology at the Federal University of São Paulo in Brazil.）表示，以他個人的經驗，這樣的孩子在未來失明的機會非常高，所以作者強烈建議所以患有小頭症的新生兒都要接受詳細的眼科檢查，並且要嚴格追蹤其後續的發展。

關於其他沒有小頭症，但是於妊娠期間曾經暴露於茲卡病毒感染的新生兒，會不會也有相關視網膜病變，目前尚待進一步研究觀察。
所以，研究團隊建議，母親用妊娠期間曾經暴露於茲卡病毒感染流行區域，特別是在第一產程（first trimester），都應該接受茲卡病毒感染的相關檢查。如果母親的病毒檢查為陽性或者是不能排除陽性，在新生兒出生後ㄧ個月要接受詳細的眼科視網膜檢查，來確認有無眼科病變，設法預防疾病惡化，以避免未來視力嚴重受損。

資料及圖片來源：
Ocular Findings in Infants With Microcephaly Associated With Presumed Zika Virus Congenital Infection in Salvador, Brazil FREE ONLINE FIRST
Bruno de Paula Freitas, MD1; João Rafael de Oliveira Dias, MD2; Juliana Prazeres, MD2; Gielson Almeida Sacramento, BS3; Albert Icksang Ko, MD3,4; Maurício Maia, MD, PhD2; Rubens Belfort Jr, MD, PhD2
[+] Author Affiliations
JAMA Ophthalmol. Published online February 09, 2016.;():. doi:10.1001/jamaophthalmol.2016.0267.

#茲卡病毒
#視網膜病變

Tags: jama ophthalmology 茲卡病毒視網膜病變

眼科陳慶隆醫師-視網膜的大小事

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藉由分享最新穎的眼科科技新知，最領先的眼科手術技術，以及最常見的眼?

jama ophthalmology 在コバにゃんチャンネル Youtube 的最讚貼文

By コバにゃんチャンネル

2021-10-01 13:19:08 有 9 人看過有 1 人喜歡

コバにゃんチャンネル

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コバにゃん☆です?

jama ophthalmology 在大象中醫 Youtube 的最佳解答

By 大象中醫

2021-10-01 13:10:45 有 0 人看過有 0 人喜歡

大象中醫

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長照是一個劇變的旋轉舞台百年難得一見沒有準備的人被旋轉舞台甩出去不是坐下就是躺下而大象中醫是太極的推手推動著旋轉舞台讓所有爬不起來的人背後有一股推手力量支撐再站起來

jama ophthalmology 在大象中醫 Youtube 的最佳貼文

By 大象中醫

2021-10-01 13:09:56 有 0 人看過有 0 人喜歡

大象中醫

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