Hoffmann F
Klin Monbl Augenheilkd. 1986 Dec;189(6):442-4. doi: 10.1055/s-2008-1050849.
Hurricane keratitis is an epithelial disorder of corneal transplants which occurs irrespectively of the type of local postoperative therapy used. The epithelial defects show a vortex-like arrangement resembling satellite photos of whirlwinds. Even before the development of punctate keratitis, fluorescein staining of the corneal surface reveals vortex-like figures corresponding to a varying thickness of the tear film in a vortex-like configuration. The irregularities in the tear film are due to an irregular profile of the corneal surface, the functional result of which is irregular astigmatism. The irregular surface profile in turn is caused by the approximation of incongruent wound edges and by sutures being too tightly drawn. Particularly when Healon is used, there is a tendency to draw the sutures tight, since a postoperative pressure increase with subsequent fistulation must be expected. Hurricane keratitis thus also appears to result indirectly from the use of Healon.
飓风性角膜炎是角膜移植的一种上皮疾病，其发生与术后局部治疗的类型无关。上皮缺损呈漩涡状排列，类似旋风的卫星照片。甚至在点状角膜炎出现之前，角膜表面的荧光素染色就显示出与泪膜厚度不同的漩涡状图形，泪膜呈漩涡状分布。泪膜不规则是由于角膜表面轮廓不规则，其功能结果是不规则散光。而不规则的表面轮廓又是由不一致的伤口边缘靠近以及缝线牵拉过紧所致。特别是当使用透明质酸钠时，由于预计术后会有压力升高及随后的瘘管形成，所以有收紧缝线的倾向。因此，飓风性角膜炎似乎也间接由使用透明质酸钠引起。
