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[短期佩戴软性接触镜后的角膜新生血管化]

[Corneal neovascularization following short-term wear of soft contact lenses].

作者信息

Koniszewski G

出版信息

Klin Monbl Augenheilkd. 1982 Dec;181(6):467-70. doi: 10.1055/s-2008-1055273.

DOI:10.1055/s-2008-1055273
PMID:6188875
Abstract

Between 1980 and 1982 the author treated 9 patients suffering from severe, partly irreversible bilateral damage to the cornea resulting from the use of soft contact lenses. After three months to two years the patients complained of a foreign body sensation, dryness and of a substantial reduction in visual acuity. The high degree of comfort experienced initially encourages patients to wear soft lenses for excessively long periods of time and this can lead to severe complications: while at first there was only slight capillary proliferation at the limbus, superficial and deep vascular proliferation subsequently developed. Use of the soft contact lenses was discontinued and locally applied corticosteroids brought about some improvement. However neovascularization persisted, requiring an intraocular lens implant in one eye - and causing a permanent reduction in the visual acuity of three patients. Wearers of soft contact lenses should be examined regularly by an ophthalmologist (at least twice a year) and should be made aware of the above complications.

摘要

1980年至1982年间,作者治疗了9例因使用软性隐形眼镜而导致严重的、部分不可逆的双侧角膜损伤的患者。三到两年后,患者抱怨有异物感、眼干以及视力大幅下降。最初体验到的高度舒适度促使患者长时间佩戴软性隐形眼镜,这可能导致严重并发症:起初角膜缘只有轻微的毛细血管增生,随后发展为浅层和深层血管增生。停止使用软性隐形眼镜并局部应用皮质类固醇后病情有所改善。然而新生血管持续存在,一只眼睛需要植入人工晶状体,导致三名患者视力永久性下降。软性隐形眼镜佩戴者应由眼科医生定期检查(至少每年两次),并应了解上述并发症。

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Klin Monbl Augenheilkd. 1982 Dec;181(6):467-70. doi: 10.1055/s-2008-1055273.
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Graefes Arch Clin Exp Ophthalmol. 1983;221(2):73-7. doi: 10.1007/BF02133810.