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角膜缘干细胞缺乏的诊断方法

Diagnostic approach to limbal stem cell deficiency.

作者信息

Lent-Schochet Daniella, Akbar Mizna, Hou Joshua H, Farooq Asim V

机构信息

Department of Ophthalmology and Visual Science, University of Chicago, Chicago, IL, United States.

Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minnesota, MN, United States.

出版信息

Front Ophthalmol (Lausanne). 2025 Jan 16;4:1524595. doi: 10.3389/fopht.2024.1524595. eCollection 2024.

DOI:10.3389/fopht.2024.1524595
PMID:39886446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11779701/
Abstract

Limbal stem cell deficiency (LSCD) is an important cause of visual and ocular morbidity. Effective diagnosis and management require a thoughtful and comprehensive evaluation of the ocular surface. This review describes the pathogenesis, diagnosis, and grading of LSCD, as well as characteristic findings via slit lamp examination, confocal microscopy, anterior segment optical coherence tomography (AS-OCT), impression cytology, and OCT angiography.

摘要

角膜缘干细胞缺乏(LSCD)是导致视力下降和眼部病变的重要原因。有效的诊断和治疗需要对眼表进行细致全面的评估。本文综述了LSCD的发病机制、诊断和分级,以及通过裂隙灯检查、共焦显微镜检查、眼前节光学相干断层扫描(AS-OCT)、印迹细胞学检查和OCT血管造影的特征性表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfc/11779701/fe6374fadb94/fopht-04-1524595-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfc/11779701/733ee9771cb3/fopht-04-1524595-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfc/11779701/fe6374fadb94/fopht-04-1524595-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfc/11779701/733ee9771cb3/fopht-04-1524595-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfc/11779701/fe6374fadb94/fopht-04-1524595-g002.jpg

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1
Diagnostic approach to limbal stem cell deficiency.角膜缘干细胞缺乏的诊断方法
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本文引用的文献

1
Prevalence of limbal stem cell deficiency at an academic referral center over a two-year period.在一家学术转诊中心两年期间角膜缘干细胞缺乏症的患病率。
Front Ophthalmol (Lausanne). 2024 Jun 24;4:1392106. doi: 10.3389/fopht.2024.1392106. eCollection 2024.
2
The Multifold Etiologies of Limbal Stem Cell Deficiency: A Comprehensive Review on the Etiologies and Additional Treatment Options for Limbal Stem Cell Deficiency.角膜缘干细胞缺乏的多种病因:角膜缘干细胞缺乏病因及其他治疗选择的综合综述
J Clin Med. 2023 Jun 30;12(13):4418. doi: 10.3390/jcm12134418.
3
A Review of the Diagnosis and Treatment of Limbal Stem Cell Deficiency.
角膜缘干细胞缺乏症的诊断与治疗综述
Front Med (Lausanne). 2022 May 25;9:836009. doi: 10.3389/fmed.2022.836009. eCollection 2022.
4
Limbal Stem Cell Deficiency: Demographics and Clinical Characteristics of a Large Retrospective Series at a Single Tertiary Referral Center.角膜缘干细胞缺乏症:单一大专三级转诊中心的大型回顾性系列研究的人口统计学和临床特征。
Cornea. 2021 Dec 1;40(12):1525-1531. doi: 10.1097/ICO.0000000000002770.
5
The utility of anterior segment optical coherence tomography angiography for the assessment of limbal stem cell deficiency.眼前节光学相干断层扫描血管造影在评估角膜缘干细胞缺陷中的应用。
Ocul Surf. 2021 Jan;19:94-103. doi: 10.1016/j.jtos.2020.04.007. Epub 2020 Apr 23.
6
Corneal Epithelial Thickness Measured Using Anterior Segment Optical Coherence Tomography as a Diagnostic Parameter for Limbal Stem Cell Deficiency.利用眼前节光学相干断层扫描测量角膜上皮厚度作为诊断角膜缘干细胞缺陷的参数。
Am J Ophthalmol. 2020 Aug;216:132-139. doi: 10.1016/j.ajo.2020.04.006. Epub 2020 Apr 10.
7
Diagnostic criteria for limbal stem cell deficiency before surgical intervention-A systematic literature review and analysis.手术干预前角膜缘干细胞缺乏症的诊断标准:系统文献回顾与分析。
Surv Ophthalmol. 2020 Jan-Feb;65(1):32-40. doi: 10.1016/j.survophthal.2019.06.008. Epub 2019 Jul 2.
8
Global Consensus on Definition, Classification, Diagnosis, and Staging of Limbal Stem Cell Deficiency.角膜缘干细胞缺乏症的定义、分类、诊断及分期的全球共识
Cornea. 2019 Mar;38(3):364-375. doi: 10.1097/ICO.0000000000001820.
9
In vivo confocal microscopy and optical coherence tomography as innovative tools for the diagnosis of limbal stem cell deficiency.活体共聚焦显微镜检查和光学相干断层扫描作为诊断角膜缘干细胞缺乏症的创新工具。
J Fr Ophtalmol. 2018 Nov;41(9):e395-e406. doi: 10.1016/j.jfo.2018.09.003. Epub 2018 Oct 24.
10
Limbal Stem Cell Transplantation: Clinical Results, Limits, and Perspectives.角膜缘干细胞移植:临床结果、局限性及展望
Stem Cells Int. 2018 Oct 11;2018:8086269. doi: 10.1155/2018/8086269. eCollection 2018.