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高频电波电外科治疗仪成功治疗伴有角膜浅层营养不良的结膜淋巴管扩张症

Successful treatment of conjunctival lymphangiectasia accompanied by corneal dellen using a high-frequency radiowave electrosurgical device.

机构信息

Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea.

Department of Ophthalmology, Kyung Hee University Medical Center, Kyung Hee University, Seoul, Korea.

出版信息

Indian J Ophthalmol. 2019 Mar;67(3):409-411. doi: 10.4103/ijo.IJO_1109_18.

Abstract

A 62-year-old man presented with a 1-month history of right eye pain unresponsive to artificial tears and topical steroids. At presentation, bullous yellowish fluid collection was noted in the nasal conjunctiva. Corneal thinning and opacity were observed at the 3 o'clock position of the cornea. High-frequency radiowave ablation and biopsy were performed at the affected area. Conjunctival lymphangiectasia was confirmed by excisional biopsy. An improvement in the degree of corneal dellen and chemosis was evident 1 week after ablation. Use of a high-frequency radiowave electrosurgical device may be a simple and effective treatment option for symptomatic conjunctival lymphangiectasia.

摘要

一位 62 岁男性,因右眼疼痛 1 个月就诊,人工泪液和局部皮质类固醇治疗无效。就诊时,发现鼻侧结膜有疱疹样黄色液体积聚。角膜 3 点钟位置可见角膜变薄和混浊。在病变部位行高频电波消融和活检。切除活检证实为结膜淋巴管扩张症。消融后 1 周,角膜凹陷和球结膜水肿程度明显改善。高频电波电外科设备的使用可能是治疗症状性结膜淋巴管扩张症的一种简单有效的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95a3/6407410/5888fc0bb476/IJO-67-409-g001.jpg

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