翼状胬肉切除联合自体结膜移植术后双侧手术诱发坏死性巩膜炎：一例报告
Bilateral Surgically Induced Necrotizing Scleritis After Pterygium Excision with Conjunctival Autograft: A Case Report.
作者信息
Alrawashdeh Hamzeh Mohammad, Al-Habahbeh Omar
机构信息
Ophthalmology Department, Ibn Al Haytham Hospital, Amman, Jordan.
出版信息
Oman Med J. 2022 Jul 31;37(4):e399. doi: 10.5001/omj.2022.16. eCollection 2022 Jul.
Abstract
Surgically induced necrotizing scleritis (SINS) is an immune-mediated condition that rarely occurs after ocular surgeries with a latency period of days to years. We present a case of a 49-year-old man who developed bilateral SINS two weeks after uneventful bilateral pterygium excision with conjunctival autografts. He was managed with a course of oral prednisolone, topical antibiotic ointment, topical non-steroidal anti-inflammatory drugs and lubricants, and close follow-up and rheumatological consultation.
摘要
手术诱发的坏死性巩膜炎（SINS）是一种免疫介导的疾病，很少在眼科手术后发生，潜伏期为数天至数年。我们报告一例49岁男性病例，该患者在双侧翼状胬肉切除联合结膜自体移植术后两周出现双侧SINS。患者接受了口服泼尼松龙、局部抗生素眼膏、局部非甾体抗炎药和润滑剂治疗，并进行密切随访和风湿科会诊。
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