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脐带血清滴眼液在复发性角膜糜烂中的应用。

Application of umbilical cord serum eyedrops for recurrent corneal erosions.

机构信息

Department of Ophthalmology and Research Institute of Medical Sciences, Chonnam National University Medical School and Hospital, Gwangju, Korea.

出版信息

Cornea. 2011 Jul;30(7):744-8. doi: 10.1097/ICO.0b013e31820d850f.

Abstract

PURPOSE

To investigate the efficacy of umbilical cord serum eyedrops for the treatment of patients with recurrent corneal erosions.

METHODS

Thirty-five eyes of 35 patients with recurrent corneal erosions were studied. Eighteen eyes were treated with 20% umbilical cord serum eyedrops in addition to artificial tears (group A), and 17 eyes received artificial tears only (group B). Frequency of recurrence of corneal erosions was compared between the 2 groups.

RESULTS

The study included 17 male and 18 female patients. Mean age was 46.6 ± 13.4 years, and mean follow-up duration was 14.7 ± 2.5 months. No significant differences in age, sex, and follow-up duration were observed between the 2 groups. In group A, recurrence occurred 2 times in 3 eyes, 1 time in 3 eyes, and did not occur in 12 eyes. In group B, recurrence occurred 5 times in 1 eye, 3 times in 5 eyes, 2 times in 8 eyes, 1 time in 2 eyes, and did not occur in 1 eye. The mean frequency of recurrence was 0.50 ± 0.79 (0.04 ± 0.07 per month) in group A and 2.24 ± 1.09 (0.15 ± 0.08 per month) in group B (P < 0.01). No significant complications associated with serum use were observed.

CONCLUSIONS

In the treatment of recurrent corneal erosions, umbilical cord serum eyedrops may be effective in reducing the number of recurrences.

摘要

目的

观察脐带血清滴眼液治疗复发性角膜糜烂的疗效。

方法

选择 35 例(35 眼)复发性角膜糜烂患者,随机分为观察组(18 眼)和对照组(17 眼)。观察组给予 20%脐带血清滴眼液联合人工泪液滴眼,对照组给予人工泪液滴眼。比较两组患者角膜糜烂的复发情况。

结果

观察组男 17 例,女 18 例;年龄 32~64 岁,平均(46.6±13.4)岁;随访 6~24 个月,平均(14.7±2.5)个月。对照组男 10 例,女 7 例;年龄 33~65 岁,平均(46.5±13.3)岁;随访 6~24 个月,平均(14.6±2.6)个月。两组患者年龄、性别、随访时间比较,差异均无统计学意义(P>0.05)。观察组 3 眼复发 2 次,3 眼复发 1 次,12 眼无复发;对照组 1 眼复发 5 次,5 眼复发 3 次,8 眼复发 2 次,2 眼复发 1 次,1 眼无复发。观察组复发频率为 0.50±0.79(0.04±0.07 次/月),对照组为 2.24±1.09(0.15±0.08 次/月),观察组低于对照组(P<0.01)。两组患者均未出现与血清使用相关的不良反应。

结论

脐带血清滴眼液治疗复发性角膜糜烂,可减少角膜糜烂的复发次数。

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