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角膜瘢痕疙瘩的诊断与处理

Diagnosis and management of corneal keloid.

作者信息

Chawla Bhavna, Agarwal Ashutosh, Kashyap Seema, Tandon Radhika

机构信息

Cornea and Refractive Surgery Services, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Clin Exp Ophthalmol. 2007 Dec;35(9):855-7. doi: 10.1111/j.1442-9071.2007.01608.x.

Abstract

A 29-year-old man presented with a slowly growing mass in his left eye for the past 6 months. He had undergone a lens aspiration for traumatic cataract with an anterior chamber intraocular lens implantation several years ago. On examination, a pearly white mass was seen on the cornea. Ultrasound biomicroscopy revealed a hyperdense mass well demarcated from the underlying corneal tissue. The mass was excised by superficial keratectomy and the bare stroma covered with amniotic membrane. Histopathological examination of the excised mass revealed findings consistent with the diagnosis of a corneal keloid. At follow up after 6 months, no recurrence was observed.

摘要

一名29岁男性,在过去6个月中左眼出现一个生长缓慢的肿块。他曾在几年前因外伤性白内障接受晶状体吸出术并植入前房型人工晶状体。检查时,在角膜上可见一个珍珠白色的肿块。超声生物显微镜检查显示一个高密度肿块,与下方角膜组织界限清晰。通过浅表角膜切除术切除肿块,裸露的基质用羊膜覆盖。切除肿块的组织病理学检查结果符合角膜瘢痕疙瘩的诊断。6个月后的随访中,未观察到复发。

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