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推测由腺病毒引起的双侧盘状角膜炎。

Bilateral disciform keratitis of presumed adenoviral etiology.

作者信息

Altan-Yaycioglu Rana, Poyraz Serkan

机构信息

Department of Ophthalmology, Adana Teaching and Medical Research Center, School of Medicine, Baskent University, Adana, Turkey.

Department of Ophthalmology, Cukurova Dr. Askim Tufekci State Hospital, Adana, Turkey.

出版信息

Indian J Ophthalmol. 2018 Jan;66(1):132-134. doi: 10.4103/ijo.IJO_688_17.

Abstract

Adenoviral conjunctivitis may lead to subepithelial corneal infiltrates as a late complication. Herein, we aim to present a 19-year-old healthy female, who developed bilateral disciform keratitis three weeks after suffering adenoviral conjunctivitis. She presented with widespread subepithelial corneal infiltrates in addition to central corneal edema with white distinct border resembling immune stromal ring, as well as Descemet's folds and keratic precipitates in the central area. Following topical corticosteroid and ganciclovir for 10 days, her condition improved. After 1 month, she had another episode. Short-term topical corticosteroids in addition to long-term topical cyclosporine and nonpreserved artificial tears were able to prevent further recurrences.

摘要

腺病毒性结膜炎可能会导致上皮下角膜浸润这一晚期并发症。在此,我们旨在介绍一名19岁的健康女性,她在患腺病毒性结膜炎三周后出现双侧盘状角膜炎。她除了中央角膜水肿,伴有类似免疫基质环的白色清晰边界外,还出现广泛的上皮下角膜浸润,以及中央区域的Descemet皱褶和角膜后沉着物。局部使用皮质类固醇和更昔洛韦治疗10天后,她的病情有所改善。1个月后,她又发作了一次。除了长期局部使用环孢素和无防腐剂人工泪液外,短期局部使用皮质类固醇能够预防进一步复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc45/5778549/6ef2643652cc/IJO-66-132-g001.jpg

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