Kumar Mukesh, Shetty Rohit, Jayadev Chaitra
Narayana Nethralaya, Bengaluru, Karnataka, India.
Indian J Ophthalmol. 2017 Apr;65(4):320-322. doi: 10.4103/ijo.IJO_730_16.
This study aims to report the use of mini-scleral contact lens in the management of mucous membrane pemphigoid (MMP) with persistent epithelial defects. A 68-year-old male with a history of ocular pain and declining visual acuity was referred to our clinic with a diagnosis of MMP. His corrected distance visual acuity (CDVA) was 20/200 in the right eye and 20/100 in the left eye. Despite being on lubricants, topical steroids and intravenous cyclophosphamide, the patient developed persistent corneal epithelial defects in both eyes. He was then given a trial of mini-scleral lenses. Within 4 weeks, corneal epithelial defects healed, and at 6 months, the CDVA had improved to 20/50 in the right eye and 20/40 in the left eye. By improving the corneal surface integrity and visual function, mini-scleral lenses can play a role in the visual rehabilitation of patients with MMP.
本研究旨在报告微型巩膜接触镜在治疗伴有持续性上皮缺损的黏膜类天疱疮（MMP）中的应用。一名68岁男性，有眼痛和视力下降病史，因MMP诊断被转诊至我院。他的右眼矫正远视力（CDVA）为20/200，左眼为20/100。尽管使用了润滑剂、局部类固醇和静脉注射环磷酰胺，患者双眼仍出现持续性角膜上皮缺损。随后给他试用微型巩膜镜。4周内，角膜上皮缺损愈合，6个月时，右眼CDVA提高到20/50，左眼提高到20/40。通过改善角膜表面完整性和视觉功能，微型巩膜镜可在MMP患者的视觉康复中发挥作用。
