CAJ | 학술논문

目的：探讨角膜内皮炎的病因、诊断、抗病毒药物及皮质类固醇激素治疗的临床疗效。方法：对24例角膜内皮炎患者临床特点及治疗效果进行回顾性分析。结果：24例患者均获治愈，随访6月～1年，复发3例，所有病例视力均有不同程度提高，经治疗后：视力达0．1。0．3者3例，0．3。0．5者12例，0．6～0．8者5例，〉0．8者4例，5例遗留角膜瘢翳，11例遗留角膜云翳。结论：角膜内皮炎强调早期诊断、及时给予病因治疗，局部或全身应用抗病毒药物联合皮质类固醇激素治疗可有效缓解病情，减少复发率。
목적：탐토각막내피염적병인、진단、항병독약물급피질류고순격소치료적림상료효。방법：대24례각막내피염환자림상특점급치료효과진행회고성분석。결과：24례환자균획치유，수방6월～1년，복발3례，소유병례시력균유불동정도제고，경치료후：시력체0．1。0．3자3례，0．3。0．5자12례，0．6～0．8자5례，〉0．8자4례，5례유류각막반예，11례유류각막운예。결론：각막내피염강조조기진단、급시급여병인치료，국부혹전신응용항병독약물연합피질류고순격소치료가유효완해병정，감소복발솔。
J Objective: To explore the etiology, diagnosis as well as the antiviral drugs and cortlcosterold holmone treatment ot corneal endotheliitis. Methods: Clinical characteristics and treatment effectiveness of 24 cases of patients with the corneal endotheliitis were conducted retrospective anlysis. Results: All patients with the corneal endotheliitis were cured. Three cases of corneal inflammation recurred during the following-up of 6-12 months. After the etiological treatment was performed, visual acuity improved among 24 patients: 3 patients with 0.1-0.3 visual acuity improvement, 11 patients with 0.3-0.5, 5 patients with 0.6-0.8 and 3 patients with more than 0.8 improvment. Corneal macula were observed in 5 cases and l 1 cases of corneal nebula. Conclusion: The early diagnosis and therapy was emphasized on the corneal endotheliitis, local or systemic application of antiviral drugs combined with eortieosteroid hormone could effectively alleviate the symptom, and reduce the relapse rate.