Sadiq S A, Downes R N
Queen's Medical Centre, University Hospital, Nottingham, UK.
Eye (Lond). 1996;10 ( Pt 4):473-5. doi: 10.1038/eye.1996.104.
We believe that a previously undocumented cause of recurrent red, watery, sore and itchy eyes in children is dysversion of the lateral eyelashes. Diagnosis requires a close examination of the lateral aspect of the eyelids where dysverted lashes are seen to be growing from normal follicles. The lateral lashes are fine, long and flexible. They curve inwards and rub on the conjunctiva and cornea, and cause the above symptoms. Secondary signs include skin changes, recurrent conjunctivitis, and corneal abrasions. Conservative treatment consisting of manual repositioning of the dysverted eyelashes is recommended so that surgery may be avoided. Recognition of the condition by the primary practitioner, and institution of the straightforward treatment described above, can obviate much morbidity. The inappropriate use of topical antibiotics and frequent return visits to the practitioner may also be thus avoided.
我们认为，儿童反复出现眼红、流泪、眼痛和眼痒的一个此前未被记录的原因是外侧睫毛错位。诊断需要仔细检查眼睑外侧，在那里可以看到错位的睫毛从正常毛囊中生长出来。外侧睫毛纤细、长且柔软。它们向内弯曲，摩擦结膜和角膜，从而引起上述症状。继发性体征包括皮肤改变、复发性结膜炎和角膜擦伤。建议采用将错位睫毛手动复位的保守治疗方法，以避免手术。初级从业者对该病的识别以及实施上述简单治疗方法，可以避免很多发病情况。这样也可以避免局部抗生素的不当使用以及频繁复诊。
