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掺钕钇铝石榴石激光用于过敏性结膜炎中角膜缘囊肿的微创治疗

Neodymium-doped yttrium aluminum garnet laser for minimally invasive management of limbal cysts in allergic conjunctivitis.

作者信息

Oli Avadhesh, Bhatia Agrima

机构信息

Department of Ophthalmology, Command Hospital (Air Force) Bengaluru, Karnataka, India.

Department of Ophthalmology, 5 Air Force Hospital, Jorhat, Assam, India.

出版信息

Oman J Ophthalmol. 2025 Jun 24;18(2):232-234. doi: 10.4103/ojo.ojo_93_24. eCollection 2025 May-Aug.

DOI:10.4103/ojo.ojo_93_24
PMID:40666753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12258845/
Abstract

Allergic conjunctivitis is a widely prevalent disease across the globe. Conjunctival congestion and papillae are the most common ocular manifestations. Limbal involvement in the form of limbitis is common but limbal cysts are very rare. We present a rare case of bilateral conjunctival inclusion cysts secondary to allergic conjunctivitis, successfully managed with neodymium-doped yttrium aluminum garnet (Nd: YAG) laser photodisruption. Unwilling for surgical excision, Nd: YAG laser was considered a minimally invasive, nonsurgical option to rupture the cysts. Over a follow-up period of seven months, all the cysts disappeared and the patient became symptom-free. This modality can be considered a minimally invasive alternative outpatient procedure to surgical excision with good outcomes, especially in cases with multiple small inclusion cysts as in our case.

摘要

过敏性结膜炎是一种在全球广泛流行的疾病。结膜充血和乳头是最常见的眼部表现。以角膜缘炎形式出现的角膜缘受累很常见,但角膜缘囊肿非常罕见。我们报告了一例罕见的双侧结膜包涵囊肿继发于过敏性结膜炎的病例,通过掺钕钇铝石榴石(Nd:YAG)激光光破裂成功治疗。由于患者不愿接受手术切除,Nd:YAG激光被认为是一种微创的非手术方法来破裂囊肿。在七个月的随访期内,所有囊肿均消失,患者症状消失。这种方法可被视为一种微创的替代门诊手术,手术切除效果良好,特别是在像我们病例中存在多个小包涵囊肿的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f37/12258845/4ae944ce64c1/OJO-18-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f37/12258845/90e70d2cb23e/OJO-18-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f37/12258845/4ae944ce64c1/OJO-18-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f37/12258845/90e70d2cb23e/OJO-18-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f37/12258845/4ae944ce64c1/OJO-18-232-g002.jpg

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