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延长佩戴绷带接触镜治疗复发性角膜糜烂。

Treatment of recurrent corneal erosion by extended-wear bandage contact lens.

机构信息

Casey Eye Institute, Department of Ophthalmology, Oregon Health & Science University, Portland, OR, USA.

出版信息

Cornea. 2011 Feb;30(2):164-6. doi: 10.1097/ICO.0b013e3181e84689.

DOI:10.1097/ICO.0b013e3181e84689
PMID:20847650
Abstract

PURPOSE

To assess the efficacy of using a bandage contact lens (BCL) for 3 months for recurrent corneal erosions (RCE) to facilitate epithelial adhesion.

METHODS

Retrospective study of patients presented to the Casey Eye Institute (Portland, OR) with RCE after failing at least 6 weeks of medical lubrication therapy. Subjects were treated with an extended-wear BCL for 3 months and then followed for approximately 1 year. The main outcome measure was recurrence of RCE. Best-corrected visual acuity was measured before and after BCL therapy.

RESULTS

From the 12 patients studied, 9 (75%) had no recurrence of RCE after approximately 1 year of follow-up. Three subjects had subjective complaints of recurrent erosion during the follow-up period with 1 of these 3 subjects having objective findings of a recurrent erosion.

CONCLUSIONS

Three-month BCL treatment is a safe and effective medical therapy with a relatively low recurrence rate of RCE.

摘要

目的

评估绷带接触镜(BCL)在复发性角膜糜烂(RCE)中使用 3 个月以促进上皮附着的疗效。

方法

对在接受至少 6 周的医学润滑治疗后仍复发的 RCE 患者进行回顾性研究。这些患者接受了长达 3 个月的长戴 BCL 治疗,然后进行了大约 1 年的随访。主要的观察指标是 RCE 的复发情况。在 BCL 治疗前后测量最佳矫正视力。

结果

在研究的 12 名患者中,9 名(75%)在随访约 1 年后无 RCE 复发。3 名患者在随访期间有反复糜烂的主观症状,其中 1 名患者有客观的复发性糜烂发现。

结论

3 个月的 BCL 治疗是一种安全有效的医学治疗方法,RCE 的复发率相对较低。

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