摘要
蠕形螨是引起慢性睑缘炎最常被忽视的原因,其中导致人体发病的有毛囊蠕形螨和皮质蠕形螨。其常与睑板腺功能障碍、睑缘炎等眼表炎性疾病相关。近年来,学者通过临床观察对其诊断、治疗等有了进一步的认识,并提出了建议诊断标准。其中,眼睑热敷、按摩、强脉冲光等物理治疗可减轻睑缘的刺激症状,茶树油及甲硝唑等药物局部治疗对除螨有较好的治疗效果;但若合并皮肤感染,通常需行药物全身治疗。因此,未来需寻找更加方便快速的治疗方法,以达到更好的效果。
Demodex is often overlooked when it comes to the causation of chronic blepharitis.Demodex folliculorum and demodex brevis are the two species that result in the risk of infection to human beings.It is often associated with ocular surface inflammatory diseases such as meibomain gland dysfunction and blepharitis.In recent years,scholars have obtained more knowledge of the diagnosis and treatment through clinical observation,and put forward the proposed diagnostic critera.Physical therapies such as eyelid massage,hot compress,intense pulsed light can reduce eyelid irritation symptoms.Topical treatments like tea tree oil and metronidazole have better therapeutic effects on mites.But if combined with skin infection,general medication is usually required.Therefore,more convenient and rapid treatment methods still need to be found in order to achieve better results in the future.
作者
姜雷
张红
JIANG Lei;ZHANG Hong(Department of Ophthalmo-logy,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《医学综述》
2018年第7期1329-1333,共5页
Medical Recapitulate
关键词
蠕形螨
睑缘炎
治疗
Demodex
Blepharitis
Treatment
