CAJ | 학술논문

目的：探讨局部联合全身应用抗病毒及皮质类固醇激素治疗角膜内皮炎的疗效。方法回顾分析2011年11月至2013年9月在十堰市太和医院眼科诊断为角膜内皮炎并接受住院治疗患者的病例资料。结果本研究中的角膜内皮炎患者23例（23只眼），盘状型角膜内皮炎15例，弥漫型角膜内皮炎8例，均达到治愈标准，平均治愈时间为（8.6±5.4） d。盘状型和弥漫型两组角膜内皮炎治愈时间分别为（8.3±4.5）d和（9.1±6.2）d，两组间差异无统计学意义（ P ＞0.05）。治愈后除1例黄斑变性、2例白内障患者最佳矫正视力分别为0．2，0．4和0．5外，其余患者最佳矫正视力均≥0．8。结论局部联合全身应用抗病毒及激素药物可以有效、快速治愈角膜内皮炎，获得良好的视力。
목적：탐토국부연합전신응용항병독급피질류고순격소치료각막내피염적료효。방법회고분석2011년11월지2013년9월재십언시태화의원안과진단위각막내피염병접수주원치료환자적병례자료。결과본연구중적각막내피염환자23례（23지안），반상형각막내피염15례，미만형각막내피염8례，균체도치유표준，평균치유시간위（8.6±5.4） d。반상형화미만형량조각막내피염치유시간분별위（8.3±4.5）d화（9.1±6.2）d，량조간차이무통계학의의（ P ＞0.05）。치유후제1례황반변성、2례백내장환자최가교정시력분별위0．2，0．4화0．5외，기여환자최가교정시력균≥0．8。결론국부연합전신응용항병독급격소약물가이유효、쾌속치유각막내피염，획득량호적시력。
Objective To study the efficacy of topical and systemic use of antiviral agents and corticosteroids inthe treatment of corneal endotheliitis.Methods We reviewed medical records of patients who were diagnosed with cornealendotheliitis and were admitted to Tai-he Hospital between November 2011 and September 2013.Results There were 15cases of disciform corneal endotheliitis and 8 cases of diffuse corneal endotheliitis.All patients were successfully treatedand cured.The average recovery time was 8.6 ±5.4 days in all cases, and was 8.3 ±4.5 days for disciform endotheliitisand 9.1 ±6.2 days for diffuse endotheliitis.There was no difference between these two groups .All patients obtained bestcorrected visual acuity more than 0.8 except one who had macular degeneration (BCVA =0.2) and two with cataract (BCVA=0.4 and 0.5).Conclusion Corneal endotheliitis could be treated effectively and fast by topical and systemic use ofantiviral agents and corticosteroids.Visual acuity could be satisfactorily recovered.