Yazıcı Bülent, Yıldız Meral, Irfan Tayfun
Department of Ophthalmology, Uludag University, 16059, Bursa, Turkey.
Int Ophthalmol. 2011 Feb;31(1):25-8. doi: 10.1007/s10792-010-9381-0. Epub 2010 Jun 4.
The purpose of this article to report a case of ligneous conjunctivitis in an anophthalmic socket, in respect of a 20-year-old woman. The subject woman had a history of left enucleation surgery presented with bilateral palpebral ligneous conjunctivitis and ligneous gingivitis. The hematologic study revealed a severe plasma plasminogen deficiency. The eyelid lesions were successfully treated with surgical excision, topical heparin and corticosteroid eyedrops. However, the ligneous lesions recurred bilaterally after she was fitted with a prosthetic eye and were refractory to intensive topical treatment with heparin and cyclosporin A eye drops. This case shows that the use of a prosthetic eye may induce ligneous conjunctivitis in an anophthalmic socket and normal eye which is refractory to topical treatment.
本文旨在报告一例无眼球眼眶的木质化性结膜炎病例，患者为一名20岁女性。该女性有左眼眼球摘除手术史，出现双侧睑部木质化性结膜炎和木质化性牙龈炎。血液学研究显示严重的血浆纤溶酶原缺乏。眼睑病变通过手术切除、局部应用肝素和皮质类固醇滴眼液成功治疗。然而，在她佩戴义眼后，双侧木质化病变复发，对肝素和环孢素A滴眼液的强化局部治疗无效。该病例表明，佩戴义眼可能会在无眼球眼眶和正常眼中诱发木质化性结膜炎，且局部治疗无效。
