三个连续的眼睛聚甲比古安化物 (PHMB) 毒性的病例是由于复合错误造成的
Nikunj V Patel1, Umang Mathur1, Sanil Sawant1
1Department of Cornea, Dr. Shroff's Charity Eye Hospital, New Delhi, IND.
Cureus
|June 5, 2023
概括
用于治疗阿坎萨摩巴角膜炎的高度聚乙烯比古安化物 (PHMB) 可能会导致严重的眼睛毒性. 这一案例系列强调了复合PHMB的风险,强调了剂量依赖的眼睛结构损伤.
科学领域:
- 眼科医生 眼科 眼科
- 毒理学 毒理学 毒理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 阿坎萨摩巴角膜炎需要长期的比古安治疗.
- 眼部副作用是这种治疗的已知并发症.
- 了解毒性并发症有助于治疗方案的定位.
研究的目的:
- 描述在接受内部复合溶液的患者中聚甲基比古安化 (PHMB) 的有毒副作用.
- 要突出复合PHMB可能造成严重的眼损伤的潜力.
主要方法:
- 三名接受复合PHMB治疗的患者的病例系列.
- 观察眼部的副作用和毒性发展.
- 分析PHMB度和毒性的时间依赖性.
主要成果:
- 患者在六周内出现了眼睛毒性,包括结膜炎,上皮缺陷和内皮色素结块.
- 快速进展的白内障和心水学瞳孔在三个月内发展.
- 由于复合错误,复合PHMB度约为0.2%.
结论:
- 聚乙烯比古安化物 (PHMB) 可以导致眼睛不可逆转的损伤.
- PHMB的毒性取决于暴露的度和持续时间.
- 对于接受PHMB治疗的患者来说,仔细的复合和监测至关重要.
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