中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
6期
745-747
,共3页
玻璃体切割手术%角膜上皮病变%病因%疗效
玻璃體切割手術%角膜上皮病變%病因%療效
파리체절할수술%각막상피병변%병인%료효
Vitrectomy%Corneal epithelial keratopathy%Etiology%Effective
目的 分析玻璃体切割术后角膜上皮病变临床特征、病因及治疗方法.方法 对246例246只眼玻璃体切割手术病例的术后角膜上皮情况进行观察和分析.发生角膜上皮病变者采用不含防腐剂眼药水、点用自体血清、加压包扎、手术平整结膜、小剂量短期口服糖皮质激素、配戴软性角膜接触镜等方法治疗.结果 38例38只眼(15.45％)发生角膜上皮病变.病变类型:表层点状角膜病变22只眼(57.89％),角膜上皮脱落8只眼(21.05％),持续性角膜上皮缺损2只眼(5.26％),假树枝样角膜上皮病变3只眼(7.89％),丝状角膜炎3只眼(7.89％).其中治愈34只眼(89.47％),显效3只眼(7.89％),有效1只眼(2.63％),无无效病例,总有效率100.00％.术中角膜上皮刮除、术后眼表不平整、糖尿病等是玻璃体切割术后角膜上皮病变的主要原因.结论 玻璃体切割术后角膜上皮病变具有一定的临床特征,正确认识与治疗可取得良好疗效,明确发病原因有助于预防.
目的 分析玻璃體切割術後角膜上皮病變臨床特徵、病因及治療方法.方法 對246例246隻眼玻璃體切割手術病例的術後角膜上皮情況進行觀察和分析.髮生角膜上皮病變者採用不含防腐劑眼藥水、點用自體血清、加壓包扎、手術平整結膜、小劑量短期口服糖皮質激素、配戴軟性角膜接觸鏡等方法治療.結果 38例38隻眼(15.45％)髮生角膜上皮病變.病變類型:錶層點狀角膜病變22隻眼(57.89％),角膜上皮脫落8隻眼(21.05％),持續性角膜上皮缺損2隻眼(5.26％),假樹枝樣角膜上皮病變3隻眼(7.89％),絲狀角膜炎3隻眼(7.89％).其中治愈34隻眼(89.47％),顯效3隻眼(7.89％),有效1隻眼(2.63％),無無效病例,總有效率100.00％.術中角膜上皮颳除、術後眼錶不平整、糖尿病等是玻璃體切割術後角膜上皮病變的主要原因.結論 玻璃體切割術後角膜上皮病變具有一定的臨床特徵,正確認識與治療可取得良好療效,明確髮病原因有助于預防.
목적 분석파리체절할술후각막상피병변림상특정、병인급치료방법.방법 대246례246지안파리체절할수술병례적술후각막상피정황진행관찰화분석.발생각막상피병변자채용불함방부제안약수、점용자체혈청、가압포찰、수술평정결막、소제량단기구복당피질격소、배대연성각막접촉경등방법치료.결과 38례38지안(15.45％)발생각막상피병변.병변류형:표층점상각막병변22지안(57.89％),각막상피탈락8지안(21.05％),지속성각막상피결손2지안(5.26％),가수지양각막상피병변3지안(7.89％),사상각막염3지안(7.89％).기중치유34지안(89.47％),현효3지안(7.89％),유효1지안(2.63％),무무효병례,총유효솔100.00％.술중각막상피괄제、술후안표불평정、당뇨병등시파리체절할술후각막상피병변적주요원인.결론 파리체절할술후각막상피병변구유일정적림상특정,정학인식여치료가취득량호료효,명학발병원인유조우예방.
Objective To study the pathogenesis,clinical features and treatment of corneal epithelial keratopathy after vitrectomy.Methods The corneal epithelial changes of 246 cases (246 eyes)underwent vitrectomy were observed and analyzed.The treatments of preservative-free eyedrops,autologous serum,and compression bandaging,smoothing operation of conjunctiva,low dose short term oral glucocorticoid,and wearing soft corneal contact lens were used selectively.Results Corneal epithelial keratopathy occurred in 38 eyes (15.45％).The corneal epithelial keratopathy in this research were classified into five types:22 eyes (57.89％) with superficial punctate keratopathy,8 eyes (21.05％) with exfoliation of comeal epithelium,2 eyes (5.26％) with persistent corneal epithelial defects,3 eyes (7.89％) with pseudodendritic keratitis,and 3 eyes (7.89％) with filamentary keratopathy.The reason of corneal epithelial keratopathy was complex,such as intraoperative epithelial scraping,postoperative ocular surface roughness,diabetes.Conclusions Corneal epithelial lesions after vitrectomy have certain clinical features.The comprehensive treatment and recognizing the clinical features and pathogeny is effective to treat and prevent corneal epithelial keratopathy after vitrectomy.
