Thiel H J, Pülhorn G
Klin Monbl Augenheilkd. 1975 Jun;166(6):791-7.
The long-term therapy with Resochin leads in a proportion of cases to reversible changes in the cornea. There is no direct relationship between the total dose used and the keratopathy. Point-like "Infiltrations" can be identified histologically in the cytoplasm of the epithelium and also vacuolised cells and cell necrosis, mainly in the surface epithelial layers. Under the electron microscope one can see, alongside intact cells, cells with multiple lyosomal inclusions, surrounded by a membrane, and myelin figures. The changes described are probably to be seen as after-effects of the influence of the drug.
长期使用氯喹治疗会在一定比例的病例中导致角膜出现可逆性变化。所用总剂量与角膜病变之间没有直接关系。从组织学上可以在角膜上皮细胞质中发现点状“浸润”,也有细胞空泡化和细胞坏死,主要发生在表层上皮。在电子显微镜下,除了完整的细胞外,还能看到有多个被膜包裹的溶酶体包涵体的细胞以及髓鞘样结构。上述变化可能被视为药物影响的后遗症。