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[隐形眼镜诱发的深层角膜混浊中的内皮功能]

[Endothelial function in contact lens-induced deep corneal opacities].

作者信息

Göbbels M, Wähning A, Spitznas M

出版信息

Fortschr Ophthalmol. 1989;86(5):448-50.

PMID:2583637
Abstract

Deep stromal and preendothelial corneal opacities have been described to be a problem of growing importance in contact lens wearers, above all in those with a more than ten-year-old history of contact lens wearing. In the present study the corneal endothelial permeability of 21 patients with a more than ten-year-old history of contact lens (HEMA 38%) wearing has been determined and compared with that of an age-matched group of 8 healthy individuals without ocular disease. The corneal endothelial permeability has been measured by a computerized automated fluorophotometer (Coherent Radiation Fluorotron Master) after topical application of a Na-fluorescein solution according to the method described by Jones and Maurice. The corneal endothelial permeability of contact lens wearers with deep corneal opacities has been found to be significantly (p = 0.05) increased when compared with contact lens wearers without corneal opacities. Contact lens wearers without corneal opacities showed no significant increase of their endothelial permeability in comparison to the control group.

摘要

深层基质和内皮前角膜混浊在隐形眼镜佩戴者中已被描述为一个日益重要的问题,尤其是在那些有超过十年隐形眼镜佩戴史的人群中。在本研究中,测定了21名有超过十年(含水量38%的甲基丙烯酸羟乙酯)隐形眼镜佩戴史患者的角膜内皮通透性,并与8名无眼部疾病的年龄匹配健康个体组成的对照组进行了比较。根据Jones和Maurice所描述的方法,在局部应用荧光素钠溶液后,使用计算机自动荧光光度计(相干辐射荧光仪主机)测量角膜内皮通透性。与无角膜混浊的隐形眼镜佩戴者相比,有深层角膜混浊的隐形眼镜佩戴者的角膜内皮通透性显著增加(p = 0.05)。与对照组相比,无角膜混浊的隐形眼镜佩戴者的内皮通透性没有显著增加。

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