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细菌性结膜炎:术中及术后使用新鲜冷冻血浆和肝素,两例报告。

Ligneous conjunctivitis: Fresh-frozen plasma and heparin use intra-and postoperatively, a report of two cases.

机构信息

Serviço de Oftalmologia, Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, BA, Brazil.

出版信息

Arq Bras Oftalmol. 2024 Mar 22;87(3):e20220288. doi: 10.5935/0004-2749.2022-0288. eCollection 2024.

Abstract

Ligneous conjunctivitis is a rare chronic form of recurrent membranous inflammation and plasminogen deficiency. Ocular manifestations may be associated with sites other than mucous membranes, such as the oral cavity, internal ear, respiratory, genitals, and kidney. Treatment is extremely difficult because of the lack of topic plasminogen drops, and a high volume is required for systemic supplementation. This report aimed to present two patients with ligneous conjunctivitis treated with membrane excision, topical fresh-frozen plasma, and heparin intra-, and postoperatively. No recurrence was found in the ligneous membrane in the 12-month follow-up. The use of topical fresh-frozen plasma and heparin after membrane excision could be effective to avoid recurrence.

摘要

细菌性结膜炎是一种罕见的慢性复发性膜性炎症和纤维蛋白溶酶原缺乏症。眼部表现可能与黏膜以外的部位有关,如口腔、内耳、呼吸道、生殖器和肾脏。由于缺乏局部纤维蛋白溶酶原滴眼液,需要大量全身补充,因此治疗非常困难。本报告旨在介绍 2 例经膜切除术、局部新鲜冷冻血浆和肝素治疗的细菌性结膜炎患者。12 个月随访时,细菌性膜无复发。膜切除术后使用局部新鲜冷冻血浆和肝素可能有助于预防复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d75c/11627270/092f933b25c0/abo-87-03-e20220288-g01.jpg

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