24例角膜内皮炎综合症患者临床观察

J4 ›› 2012, Vol. 11 ›› Issue (12): 55-57.

24例角膜内皮炎综合症患者临床观察

大理学院楚雄附属医院，云南楚雄 675000

收稿日期:2012-07-17 修回日期:2012-10-28 出版日期:2012-12-15 发布日期:2012-12-15
作者简介:张自艳，副主任医师，主要从事白内障、眼底病研究.

Clinical Observation of 24 Patients with Corneal Endotheliitis Syndrome

Chuxiong Teaching Hospital of Dali University, Chuxiong, Yunnan 675000, China

Received:2012-07-17 Revised:2012-10-28 Online:2012-12-15 Published:2012-12-15

摘要/Abstract

摘要：

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月耀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。

关键词: 角膜内皮炎, 临床观察, 综合征

Abstract:

Objective: To explore the etiology, diagnosis as well as the antiviral drugs and corticosteroid hormone treatment of
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 11 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
corticosteroid hormone could effectively alleviate the symptom, and reduce the relapse rate.

Key words: corneal endotheliitis, clinical observation, syndrome

中图分类号:

R772.21

张自艳, 蒋云昆. 24例角膜内皮炎综合症患者临床观察[J]. J4, 2012, 11(12): 55-57.

ZHANG Zi-Yan, JIANG Yun-Kun. Clinical Observation of 24 Patients with Corneal Endotheliitis Syndrome[J]. J4, 2012, 11(12): 55-57.

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