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.

[1]	卯骏聪, 洪云飞, 魏　引, 蔡叶锐, 尹劲松. NHR、MHR、WHR在急性冠脉病变中的潜在预测价值 [J]. 大理大学学报, 2025, 10(4): 56-64.
[2]	许家顺, 王文磊, 李晓东, 杨燕淑, 杨子斌. 超声引导下水分离术联合针刀松解治疗腕管综合征的临床疗效分析#br#[J]. 大理大学学报, 2024, 9(4): 59-63.
[3]	闫　波, 潘　颖, 田平平. 感染后肠易激综合征肠道菌群及血清代谢物对内脏敏感性影响[J]. 大理大学学报, 2024, 9(2): 24-31.
[4]	邹伟民, 齐道玉, 薛文标, 李　华. 体医融合下运动处方干预大学生颈肩综合征的疗效观察与评价 [J]. 大理大学学报, 2023, 8(6): 75-78.
[5]	洪文娟, 邹久林, 余卓锐, 成家茂, 何敏华. SGLT2i对肾病综合征模型大鼠骨代谢的影响 [J]. 大理大学学报, 2022, 7(4): 21-25.
[6]	贺铮铮, 孙　俊, 王　莉, 杨玉琪. AIDS患者肝损伤的外周血指标相关性分析 [J]. 大理大学学报, 2021, 6(10): 67-.
[7]	黄丽华，罗娇，李权润，顾伟. 肾综合征出血热合并急性胰腺炎2例及文献复习[J]. 大理大学学报, 2020, 5(10): 48-50.
[8]	王鹏, 黄寿奖, 秦琪, 吕成杰, 陈锐 , 马东 , 赵晓霞, 钭金法. 15例先天性腹裂治疗分析[J]. , 2019, 4(8): 1-5.
[9]	吴文学, 石凤才, 李强峰, 李兴昌, 李宝成. 颅内外动脉搭桥和颞肌贴覆术治疗烟雾综合征的临床分析[J]. , 2019, 4(8): 43-45.
[10]	李海燕 , 尚琦. 胰岛素样生长因子-1与多囊卵巢综合征发病的相关性分析[J]. , 2019, 4(4): 71-74.
[11]	李云, 施慧仙. AIDS继发肺孢子菌肺炎CT诊断思维方法及文献复习[J]. , 2019, 4(4): 83-86.
[12]	熊志宏. 腰交感神经阻滞联合盐酸沙格雷酯治疗下肢CRPS-Ⅰ型[J]. 大理大学学报, 2019, 4(2): 49-.
[13]	李中科, 邹琳, 梁平, 翟瑄. Apert综合征1例并文献复习[J]. , 2019, 4(10): 12-15.
[14]	吴民松, 周福, 尹朝兰. 昭通市城镇居民代谢综合征患病率及危险因素分析[J]. , 2019, 4(10): 88-91.
[15]	赵效，范稚坚，万荣. 超声治疗仪治疗颈部淋巴结结核的临床观察[J]. , 2017, 2(4): 46-48.