与硅油相关的角膜上皮下白色沉积物及手术治疗：一例报告
Subepithelial white deposition in the cornea associated with silicone oil and surgical management: a case report.
作者信息
Shao Yuting, Liu Xin, Shu Yiyang, Lv Xiao, Bi Yanlong
机构信息
Department of Ophthalmology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Department of Ophthalmology, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
出版信息
Front Med (Lausanne). 2023 Jun 9;10:1147767. doi: 10.3389/fmed.2023.1147767. eCollection 2023.
A 36-year-old patient presented with a complaint of an extensive "white scar" in his right eye without pain after silicone oil presence in the vitreous cavity for 12 years. Slit-lamp microscopy revealed extensive corneal leukoplakia and mild limbus neovascularization. Anterior segment optical coherence tomography revealed marked eccentric thickening of the subepithelium and normal thickness of the stroma. We proceeded with silicone oil removal and intraocular and anterior chamber lavage at first, followed by epithelial lesion excision combined with amniotic membrane transplantation 3 months later. The patient was satisfied with the clear cornea appearance.
一名36岁患者因玻璃体腔硅油填充12年后右眼出现大片“白色瘢痕”且无疼痛前来就诊。裂隙灯显微镜检查发现广泛的角膜白斑和轻度角膜缘新生血管。眼前段光学相干断层扫描显示上皮下明显偏心增厚，基质厚度正常。我们首先进行了硅油取出及眼内和前房冲洗，3个月后进行了上皮病变切除联合羊膜移植。患者对角膜外观变清感到满意。
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