选择性激光小梁成形术后的角膜水肿和角膜炎
Corneal edema and keratitis following selective laser trabeculoplasty.
作者信息
Liu Erica Tan, Seery Loren S, Arosemena Analisa, Lamba Tania, Chaya Craig J
机构信息
New England Eye Center, 800 Washington St., Box 450, Boston, MA 02111, USA.
Pacific Cataract & Laser Institute, 6695 W. Rio Grande Avenue, Kennewick, WA 99336, USA.
出版信息
Am J Ophthalmol Case Rep. 2016 Nov 16;6:48-51. doi: 10.1016/j.ajoc.2016.11.007. eCollection 2017 Jun.
PURPOSE
To describe three cases of keratitis following Selective Laser Trabeculoplasty (SLT).
OBSERVATIONS
Three females with a history of glaucoma presented with corneal edema, keratitis (endothelial, epithelial) and decreased visual acuity shortly after SLT. There was variable resolution of symptoms after starting treatment with oral antiherpetics and topical steroids.
CONCLUSIONS AND IMPORTANCE
With the increase in usage of SLT as a treatment for glaucoma and subsequent reports of keratitis, it is imperative for ophthalmic surgeons to be aware of herpes simplex as a possible risk factor. Prompt treatment with antivirals and steroids can potentially prevent scarring and permanent damage to the cornea.
目的
描述选择性激光小梁成形术（SLT）后发生角膜炎的三例病例。
观察结果
三名有青光眼病史的女性在SLT后不久出现角膜水肿、角膜炎（内皮型、上皮型）及视力下降。开始口服抗疱疹药物和局部使用类固醇治疗后，症状有不同程度的缓解。
结论及重要性
随着SLT作为青光眼治疗方法的使用增加以及随后角膜炎报告的出现，眼科外科医生必须意识到单纯疱疹是一个可能的风险因素。及时使用抗病毒药物和类固醇进行治疗可能预防角膜瘢痕形成和永久性损伤。
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