Yang K, Chen X H, Zhou J, Wang Y H, Piao Y S, Li M, Cheng Y, Jie Y
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Ophthalmology, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China.
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Zhonghua Yan Ke Za Zhi. 2021 Dec 11;57(12):946-948. doi: 10.3760/cma.j.cn112142-20210909-00416.
A 52-year-old male presented to Beijing Tongren Hospital with a 5-year history of bilateral dry eyes. He had been diagnosed with Steven-Johnson syndrome due to allergy to cold medication. On examination, the Schirmer I test value was 0 mm, the tear break-up time was 0 s, and corneal fluorescein staining showed corneal epithelial erosion with partial fusion in both eyes. The clinical diagnosis was dry eyes (severe) and Steven-Johnson syndrome. No significant effect was observed after use of artificial tears and anti-inflammatory eye drops and tear punctal embolization. Then an insular infraorbital neurovascular pedicle labial salivary gland transplantation was performed in the right eye. During the 1-year postoperative follow-up, the symptoms and signs were significantly improved in the operated eye, and the surgical results were satisfactory. .
一名52岁男性因双眼干眼症病史5年就诊于北京同仁医院。他因对感冒药过敏被诊断为史蒂文斯-约翰逊综合征。检查时，泪液分泌试验I值为0毫米，泪膜破裂时间为0秒，角膜荧光素染色显示双眼角膜上皮糜烂并部分融合。临床诊断为干眼症（重度）和史蒂文斯-约翰逊综合征。使用人工泪液和抗炎眼药水以及泪小点栓塞后未观察到明显效果。随后对右眼进行了带蒂眶下神经血管蒂唇腺移植。术后1年随访期间，术眼的症状和体征明显改善，手术效果满意。
