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结膜手术诱发木样结膜炎

Induction of ligneous conjunctivitis by conjunctival surgery.

作者信息

Schwartz G S, Holland E J

机构信息

Department of Ophthalmology, University of Minnesota, Minneapolis, USA.

出版信息

Am J Ophthalmol. 1995 Aug;120(2):253-4. doi: 10.1016/s0002-9394(14)72619-4.

DOI:10.1016/s0002-9394(14)72619-4
PMID:7639313
Abstract

PURPOSE/METHODS: A woman with ligneous conjunctivitis of the left upper eyelid underwent conjunctival autograft transplant from the left lower to the upper eyelid. The disease in the upper eyelid persisted, and the previously healthy lower eyelid developed ligneous conjunctivitis at the autograft donor site.

RESULTS/CONCLUSIONS: The conjunctivitis was aggressively treated with multiple surgical debridements and topical and oral medications, including topical cyclosporine. The conjunctivitis slowly resolved over the course of seven months, with the longest persistence in the upper eyelid at the junction between the original tissue and the autograft. We conclude that the conjunctival transplant surgery worsened ligneous conjunctivitis in this patient's upper eyelid and induced it in her lower eyelid.

摘要

目的/方法:一名左上眼睑患有木样结膜炎的女性接受了从左下眼睑到上眼睑的结膜自体移植。上眼睑的疾病持续存在,先前健康的下眼睑在自体移植供体部位出现了木样结膜炎。

结果/结论:采用多次手术清创以及局部和口服药物(包括局部用环孢素)对结膜炎进行积极治疗。结膜炎在七个月的时间里逐渐消退,上眼睑在原始组织与自体移植交界处持续时间最长。我们得出结论,结膜移植手术使该患者上眼睑的木样结膜炎恶化,并在其下眼睑诱发了该病。

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