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丝状角膜炎的临床治疗观察 被引量:14

Observe the clinical management of filamentary keratitis
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摘要 目的观察丝状角膜炎的临床处理方法。方法123例丝状角膜炎患者,根据病因(干眼症、术后继发、角结膜炎、暴露性角膜炎、Sjogren综合征等),采用不同的治疗方案(人工泪、高渗盐、甾体或非甾体滴眼液、环孢霉素、自体血清、泪小点栓子、角膜接触镜等)。结果所有的病例在用药一周后,症状明显改善,一月内丝状物完全消失。结论丝状角膜炎较易复发,且疗程较长。但是只要选择合适的治疗方案,经过系统的治疗,均可以得到较好的控制。 Objective To observe the clinical effects of different strategies for managing filamentary keratitis. Methods According to the cause of the disorder (keratoconjunctivitis sicca 50 cases,ocular surgical procedures,superior limbic keratoconjunctivitis 7,exposure keratitis 9,Sjogren's syndrome 4),we take different strategies for managing filamentary keratitis (such as: mechanical removal of filaments,hypertonic saline,bandage contact lenses,nonpreserved lubricants,topical steroidal and nonsteroidal anti-inflammatory agents,and punctual plugs,cyclosporine Autologous serum). Results Symptoms and signs of all cases improved significantly during the first week,with complete resolution of the filaments after 1 month. Conclusions Treatment of FK is often protracted; however,with a systematic approach to therapy and advances in treatment options,good control of symptoms and resolution of the filaments is possible.
出处 《中国实用眼科杂志》 CSCD 北大核心 2007年第11期1235-1236,共2页 Chinese Journal of Practical Ophthalmology
关键词 丝状角膜炎 治疗方案 Filamentary keratitis Treatment strategy ..
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参考文献6

  • 1Julie A, Bapp S, Ph D, et al. Management of filamentary keratitis associated with aqueous-deficient dry eye. Optom Vis Sci,2003,80: 420-430.
  • 2Avisar R, Robinson A, Appel I, et al. Diclofenac sodium, 0.1% (Voltaren Ophtha), versus sodium chloride, 5%, in the treatment of filamentary keratitis. Cornea,2000,19:145-7.
  • 3Balaram M, Schaumberg D, Dana M. Efficacy and tolerability outcomes after punctal occlusion with silicone plugs in dry eye syndrome. Am J Ophthalmol,2001,131:30-6.
  • 4Grinbaum A, Yassur I, Avni I. The beneficial effect of diclofenac sodium in the treatment of filamentary keratitis. Arch Ophthalmol, 2001, 119:926-7.
  • 5王旭飞,李勤.硬性角膜接触镜在临床中的应用[J].中国实用眼科杂志,2004,22(10):761-764. 被引量:10
  • 6Goto E, Shimmura S, Shimazaki J, et al. Treatment of superior limbic keratoconjunctivitis by application of autologous serum. Cornea, 2001,20:807-10.

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