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30例儿童睑缘炎临床分析

[Clinical analysis of 30 cases of children blepharitis].

作者信息

Jiang C, Wang Z Q, Zhang Y, Sun X G

机构信息

Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab., Beijing 100005, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2016 Apr 11;52(4):291-4. doi: 10.3760/cma.j.issn.0412-4081.2016.04.012.

Abstract

OBJECTIVE

To study the clinical features and treatment of children blepharitis.

METHODS

Retrospective case series.

PARTICIPANTS

30 children patients less than 15 years old with blepharitis.

RESULTS

The clinical features , past diagnosis, treatment and therapeutic effect of 30 cases of children blepharitis recorded between Janurary 2010 to June 2013 were analyzed.

RESULTS

Of all the patients, 9 were male, and 21 were female. 15 cases (50%) were diagnosed as keratitis, among which 13 cases (43.3%) were diagnosed as virus keratitis. The main complications were keratopathy, accounting for 80%. Of all the 30 children blepharitis cases, 5 (16.7%) cases were cured; 21 (70%) cases got better; 2 cases (6.7%) recurred. Of 24 keratopaty associated with blepharitis cases, 17 cases (70.8%) were cured; 5 (20.8%) cases got better; 2 (8.3%) cases recurred.

CONCLUSIONS

Blepharitis is the common ocular surface disease, clinicians often ignore the eyelid to misdiagnosis.Children blepharitis usually affects cornea and results in keratopathy associated with blepharitis. Cure rate of Chlidren blepharitis is low. It becauses cure not only needs drug therapy but also demands patients adjust their habits and high obedience with doctors. (Chin J Ophthalmol, 2015, 51: 291-294).

摘要

目的

研究儿童睑缘炎的临床特征及治疗方法。

方法

回顾性病例系列研究。

研究对象

30例年龄小于15岁的睑缘炎患儿。

结果

分析2010年1月至2013年6月期间记录的30例儿童睑缘炎的临床特征、既往诊断、治疗及治疗效果。

结果

所有患者中,男性9例,女性21例。15例(50%)被诊断为角膜炎,其中13例(43.3%)被诊断为病毒性角膜炎。主要并发症为角膜病变,占80%。30例儿童睑缘炎病例中,5例(16.7%)治愈;21例(70%)好转;2例(6.7%)复发。24例与睑缘炎相关的角膜病变病例中,17例(70.8%)治愈;5例(20.8%)好转;2例(8.3%)复发。

结论

睑缘炎是常见的眼表疾病,临床医生常因忽视眼睑而误诊。儿童睑缘炎常累及角膜并导致与睑缘炎相关的角膜病变。儿童睑缘炎治愈率低。这是因为治愈不仅需要药物治疗,还要求患者调整习惯并高度服从医生。(《中华眼科杂志》,2015年,51: 291 - 294)

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