与眼部炎症和全身性高钙血症相关的暂时性带状角膜病变。
Transient band keratopathy associated with ocular inflammation and systemic hypercalcemia.
作者信息
Galor Anat, Leder Henry A, Thorne Jennifer E, Dunn James P
机构信息
The Wilmer Eye Institute, Department of Ophthalmology, the Johns Hopkins University School of Medicine.
出版信息
Clin Ophthalmol. 2008 Sep;2(3):645-7. doi: 10.2147/opth.s2317.
PURPOSE
To report a case of visually significant band keratopathy associated with ocular inflammation and systemic hypercalcemia which markedly decreased in severity after treatment of these underlying factors.
METHODS
Retrospective case report.
RESULTS
A 53-year-old Asian female with granulomatous panuveitis in the left eye presented with diffuse band keratopathy through the central cornea. The serum calcium was elevated. The patient was treated with topical prednisolone acetate 1% and oral prednisone with marked improvement in inflammation. The band keratopathy lessened in severity with clearing of the central cornea and improvement in visual acuity.
CONCLUSIONS
Early medical treatment of underlying factors may allow reversal of band keratopathy.
目的
报告一例与眼部炎症和全身性高钙血症相关的具有明显视力影响的带状角膜病变，在对这些潜在因素进行治疗后病情严重程度显著降低。
方法
回顾性病例报告。
结果
一名53岁的亚洲女性，左眼患有肉芽肿性全葡萄膜炎，中央角膜出现弥漫性带状角膜病变。血清钙升高。患者接受了1%醋酸泼尼松龙局部治疗和口服泼尼松治疗，炎症明显改善。随着中央角膜的清亮和视力的提高，带状角膜病变的严重程度减轻。
结论
对潜在因素进行早期药物治疗可能使带状角膜病变逆转。
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