氩激光周边虹膜切开术后疑似疱疹性角膜葡萄膜炎激活
Presumed activation of herpetic keratouveitis after Argon laser peripheral iridotomy.
作者信息
Gaynor B D, Stamper R L, Cunningham E T
机构信息
Francis I. Proctor Foundation, University of California, San Francisco, San Francisco, California, USA.
出版信息
Am J Ophthalmol. 2000 Nov;130(5):665-7. doi: 10.1016/s0002-9394(00)00589-4.
PURPOSE
To describe presumed activation of herpetic keratouveitis after argon laser peripheral iridotomy.
METHOD
Case report.
RESULTS
A 68-year-old man developed chronic, unilateral, anterior uveitis associated with decreased corneal sensation, focal keratitis, and increased intraocular pressure after argon laser peripheral iridotomy. Treatment with oral acyclovir and discontinuation of topical latanoprost resulted in prompt and continued control of both the intraocular inflammation and pressure.
CONCLUSION
Herpetic keratouveitis may occur after argon laser iridotomy, and it should be considered when postoperative inflammation persists despite appropriate use of topical corticosteroids, particularly in patients with a history of herpetic eye disease.
目的
描述氩激光周边虹膜切开术后疑似疱疹性角膜葡萄膜炎的激活情况。
方法
病例报告。
结果
一名68岁男性在氩激光周边虹膜切开术后出现慢性、单侧前葡萄膜炎，伴有角膜感觉减退、局灶性角膜炎和眼压升高。口服阿昔洛韦治疗并停用局部用拉坦前列素后，眼内炎症和眼压迅速得到持续控制。
结论
氩激光虹膜切开术后可能发生疱疹性角膜葡萄膜炎，当尽管适当使用局部皮质类固醇但术后炎症仍持续时，应考虑到这种情况，尤其是有疱疹性眼病病史的患者。
Zotero 插件