Wang K P, Wang T R, Lee H, Chen Y C, Wen L Y
Section of Ophthalmology, Tri-Service General Hospital, Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Feb;47(2):145-8.
This 9-year-old boy had a three-year history of vernal keratoconjunctivitis. A shield ulcer developed in the superior part of the cornea. The shield ulcer is a rare manifestation of the disease. Although the cause of shield ulcer is unknown, the association of shield ulcer with large papillae suggests a mechanical cause. The symptoms of itching and mucous discharge were relieved after medications with topical steroid and cromolyn sodium, but the large shield ulcer was persistent. The vernal ulcer was treated with a 72 hours collagen shield. The ulcer healed rapidly within 5 days, leaving a corneal opacity about the level of Bowman's layer.
这个9岁男孩患有春季角结膜炎已有三年病史。角膜上部出现了一个盾形溃疡。盾形溃疡是该疾病的一种罕见表现。虽然盾形溃疡的病因尚不清楚，但盾形溃疡与大乳头的关联提示有机械性病因。局部使用类固醇和色甘酸钠药物治疗后，瘙痒和黏液分泌物症状得到缓解，但大的盾形溃疡仍然存在。使用了72小时的胶原盾治疗春季溃疡。溃疡在5天内迅速愈合，在Bowman层水平留下角膜混浊。
