Cornea Service, Wills Eye Institute, Philadelphia, PA 19107-5109, USA.
Eye Contact Lens. 2010 Sep;36(5):315-7. doi: 10.1097/ICL.0b013e3181f18ff7.
Epithelial basement membrane dystrophy, the most common hereditary anterior corneal dystrophy and considered a "category 1" dystrophy in some cases, encompasses microcystic dystrophy and other conditions affecting the epithelial basement membrane. The management of symptomatic epithelial basement membrane dystrophy includes alleviating blurred vision, treating recurrent corneal erosion, or both. Treatment of distorted vision may be as simple as prescribing lubricating drops and/or ointment, and posttrauma corneal erosion is often a limited problem that disappears over time and does not require laser or surgical treatment. This article describes treatment for more severe cases of corneal erosion, which includes mechanical debridement of the loosened epithelium.
上皮基底膜营养不良，是最常见的遗传性前部角膜营养不良，在某些情况下被认为是“类别 1”营养不良，包括微囊型营养不良和其他影响上皮基底膜的情况。有症状的上皮基底膜营养不良的治疗包括缓解视力模糊、治疗复发性角膜上皮糜烂，或两者兼有。视力扭曲的治疗可能很简单，如开润滑剂滴眼剂和/或眼药膏，外伤性角膜上皮糜烂通常是一个有限的问题，随着时间的推移会消失，不需要激光或手术治疗。本文描述了更严重的角膜上皮糜烂的治疗方法，包括对松解的上皮进行机械性清创。
