Shoch D E, Stock E L, Schwartz A E
Am J Ophthalmol. 1985 Jul 15;100(1):199-201. doi: 10.1016/s0002-9394(14)75006-8.
Recurrent erosion of the cornea has been well documented in patients with nontraumatic anterior membrane dystrophies of various types. We examined five patients who, in addition to an erosion, developed stromal keratitis. Three of these patients were subjected to a complete microbiologic workup, but the lesions were all sterile. The lesions healed with conservative treatment of patching and, in some cases, a soft contact lens. Stromal keratitis should be recognized as a complication of the non-traumatic recurrent erosion syndrome, which in turn is frequently associated with anterior membrane dystrophy. The finding of such anterior membrane changes in either eye will lead to the correct diagnosis and treatment of the affected eye.
复发性角膜糜烂在各种类型的非创伤性前膜营养不良患者中已有充分记录。我们检查了五名患者，他们除了有角膜糜烂外，还发生了基质性角膜炎。其中三名患者接受了全面的微生物学检查，但病变均无菌。通过包扎以及在某些情况下使用软性隐形眼镜进行保守治疗后，病变愈合。基质性角膜炎应被视为非创伤性复发性糜烂综合征的一种并发症，而该综合征又常与前膜营养不良相关。在任何一只眼睛中发现这种前膜变化都将有助于对患眼进行正确的诊断和治疗。
