过敏眼病后的眼表面伪皮质瘤性增生症:临床特征和治疗方法
Ananya Nibandhe1, Swathi Kaliki2, Saumya Jakati3
1Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Eye (London, England)
|December 28, 2023
概括
在慢性春季角膜结合性炎 (VKC) 中,眼表面伪皮质瘤性增生 (PEH) 模仿眼表面状瘤 (OSSN). 医疗疗对于VKC相关的PEH是有效的,在考虑手术之前,通常可以解决这种情况.
科学领域:
- 眼科医生 眼科 眼科
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 慢性春季角膜结膜炎 (VKC) 可能导致眼表面伪皮质瘤性增生症 (PEH).
- PEH可能被误诊为眼表面状瘤 (OSSN).
研究的目的:
- 研究慢性VKC患者眼表面PEH的临床特征和治疗结果.
- 为了区分与VKC相关的PEH与OSSN.
主要方法:
- 对32名被诊断患有VKC诱导PEH的患者的39只眼睛 (2016-2022) 的回顾性分析.
- 评估了临床数据,成像 (AS-OCT) 和治疗反应.
- 考虑了与OSSN的差异诊断.
主要成果:
- PEH发生在儿童 (34%) 和成年人 (66%),主要发生在男性 (72%) 中.
- AS-OCT揭示了特征性的上皮和子上皮变化.
- 在31只眼睛中,医学疗法在3个月的中位数内实现了完全 (67%) 或部分 (32%) 解脱.
结论:
- 眼表面PEH是慢性VKC的一个明显表现,可以模仿OSSN.
- 临床检查,过敏评估和AS-OCT有助于区分PEH和OSSN.
- 医疗管理是建议的VKC相关PEH的第一线治疗方法.
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