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绷带式隐形眼镜联合自体血清滴眼液治疗上睑缘角结膜炎

Combination of Bandage Contact Lens and Autologous Serum Eye Drop for the Treatment of Superior Limbic Keratoconjunctivitis.

作者信息

Noor Nina Asrini

机构信息

JEC Eye Hospitals and Clinics, Jakarta, Indonesia.

出版信息

Clin Optom (Auckl). 2023 Apr 20;15:75-80. doi: 10.2147/OPTO.S404164. eCollection 2023.

DOI:10.2147/OPTO.S404164
PMID:37101947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10124569/
Abstract

PURPOSE

To report clinical improvement after combined treatment of bandage contact lens and autologous serum eye drop in a patient with superior limbic keratoconjunctivitis (SLK) complicated with dry eye disease (DED) and meibomian gland dysfunction (MGD).

PATIENTS AND METHODS

Case report.

RESULTS

A 60-year-old woman was referred for unilateral chronic recurrent redness of the left eye not responding to topical steroids and cyclosporine 0.1% eye drop. She was diagnosed with SLK, which was complicated by the presence of DED and MGD. The patient was then commenced with autologous serum eye drop and fitted with silicone hydrogel contact lens in her left eye, and treated with intense pulsed light therapy for MGD in both eyes. Remission was seen Information Classification: General serum eye drop and bandage contact lens wear.

CONCLUSION

Long-term application of autologous serum eye drop combined with bandage contact lens can be used as an alternative treatment approach in SLK.

摘要

目的

报告一名患有上睑缘角结膜炎(SLK)并伴有干眼症(DED)和睑板腺功能障碍(MGD)的患者,在接受绷带式隐形眼镜和自体血清滴眼液联合治疗后的临床改善情况。

患者与方法

病例报告。

结果

一名60岁女性因左眼单侧慢性复发性眼红前来就诊,局部使用类固醇和0.1%环孢素滴眼液治疗无效。她被诊断为SLK,并伴有DED和MGD。随后,患者开始使用自体血清滴眼液,并在左眼佩戴硅水凝胶隐形眼镜,同时双眼接受强脉冲光治疗MGD。病情缓解可见信息分类:一般血清滴眼液和绷带式隐形眼镜佩戴。

结论

长期应用自体血清滴眼液联合绷带式隐形眼镜可作为SLK的一种替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e08/10124569/79b77a4ab21c/OPTO-15-75-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e08/10124569/d7fd764b8560/OPTO-15-75-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e08/10124569/70dffd69c367/OPTO-15-75-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e08/10124569/79b77a4ab21c/OPTO-15-75-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e08/10124569/d7fd764b8560/OPTO-15-75-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e08/10124569/70dffd69c367/OPTO-15-75-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e08/10124569/79b77a4ab21c/OPTO-15-75-g0003.jpg

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本文引用的文献

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Efficacy of intense pulsed light and meibomian gland expression treatments in meibomian gland dysfunction: A meta-analysis of randomized controlled trials.强脉冲光和睑板腺按摩治疗睑板腺功能障碍的疗效:一项随机对照试验的荟萃分析。
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治疗性隐形眼镜在角膜和眼表疾病治疗中的应用——综述。
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Intense pulsed light (IPL) therapy for the treatment of meibomian gland dysfunction.强脉冲光(IPL)疗法治疗睑板腺功能障碍。
Cochrane Database Syst Rev. 2020 Mar 18;3(3):CD013559. doi: 10.1002/14651858.CD013559.
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