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[麻醉性角膜炎(作者译)]

[Anesthetic keratitis (author's transl)].

作者信息

Pau H

出版信息

Klin Monbl Augenheilkd. 1980 Jun;176(6):885-92. doi: 10.1055/s-2008-1057577.

Abstract

Report of six patients with corneal lesions due to abuse of local anesthetics. Depending on the duration and frequency of application of local anesthetics and individual disposition, the following lesions occur: superficial punctate keratitis, corneal erosions, edema of epithelium and stroma, stromal infiltrates, stromal defects, iritis, cataract, secondary glaucoma. During the prolonged period of healing following a stromal affection, bullae of the epithelium and erosions occur at these sites repeatedly in some cases; vascularization and leukoma may also occur. The most important local anesthetics currently in use are mentioned. Local anesthetics for the eye should only be administered by the physician.

摘要

6例因滥用局部麻醉剂导致角膜病变的病例报告。根据局部麻醉剂的使用时间、频率及个体差异,会出现以下病变:浅层点状角膜炎、角膜糜烂、上皮及基质水肿、基质浸润、基质缺损、虹膜炎、白内障、继发性青光眼。在基质病变后的较长愈合期,某些病例中这些部位会反复出现上皮大疱和糜烂;还可能出现血管化和角膜白斑。文中提及了目前使用的最重要的局部麻醉剂。眼部局部麻醉剂应由医生使用。

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