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低渗性角膜交联术后小儿无菌性角膜炎的预后

Outcomes of pediatric sterile keratitis posthypotonic collagen cross-linking.

作者信息

Kaur Amanjot, Sahu Srikant Kumar, Garg Prashant, Roy Aravind

机构信息

Cornea and Anterior Segment, Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India.

Cornea and Anterior Segment, Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Bhubaneswar, Odisha, India.

出版信息

Oman J Ophthalmol. 2024 Oct 24;17(3):376-379. doi: 10.4103/ojo.ojo_24_24. eCollection 2024 Sep-Dec.

Abstract

In this case series, we will describe sterile keratitis in the early postoperative period after hypotonic collagen cross-linking (CXL) in two pediatric cases. This is a retrospective case series of two eyes of two children who developed inflammatory keratitis with central corneal haze after uneventful epithelial-off hypotonic CXL. After ensuring microbiological sterility, appropriate treatment with topical steroids and lubricants was started. There was complete resolution of corneal infiltrates with minimal scarring. Both patients regained almost the preoperative best-corrected visual acuity of 20/80 and 20/60, respectively.

摘要

在本病例系列中,我们将描述两例儿童在低渗性角膜交联术(CXL)术后早期发生的无菌性角膜炎。这是一个回顾性病例系列,涉及两名儿童的两只眼睛,他们在顺利完成上皮去除的低渗性CXL术后出现了伴有中央角膜混浊的炎性角膜炎。在确保微生物学无菌后,开始使用局部类固醇和润滑剂进行适当治疗。角膜浸润完全消退,瘢痕形成 minimal。两名患者分别恢复了几乎术前20/80和20/60的最佳矫正视力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09dc/11620304/2ddf427c33a2/OJO-17-376-g001.jpg

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