Surgical Services, Miami Veterans Affairs Medical Center, Miami, FL; and.
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL.
Cornea. 2023 Mar 1;42(3):261-271. doi: 10.1097/ICO.0000000000003193. Epub 2022 Dec 19.
Several etiologies can contribute to ocular surface pain including nociceptive, peripheral neuropathic, and central neuropathic mechanisms. Clinical clues can help identify contributors to ocular surface pain in a patient. In individuals whose pain persists despite targeting nociceptive contributors, neuropathic mechanisms should be considered and addressed using oral, topical, and/or adjuvant agents.
几种病因可导致眼表面疼痛,包括伤害感受性、周围神经性和中枢神经性机制。临床线索有助于识别患者眼表面疼痛的病因。对于那些尽管针对伤害感受性病因进行治疗但疼痛仍持续存在的个体,应考虑神经病理性机制,并使用口服、局部和/或辅助药物进行治疗。