角膜连锁炎的手术治疗
Supriya Sharma1, Prajakta Dandekar1, Vaibhav Nagpal1
1Department of Cornea and Anterior Segment Services, Shantilal Shanghvi Eye Institute, Mumbai, India.
Seminars in ophthalmology
|August 30, 2025
概括
在严重的春季角膜炎 (VKC) 中,手术治疗是关键,如巨型乳头和盾状. 在患有角膜并发症的VKC患者中,量身定制的手术策略可以保持视力.
科学领域:
- 眼科 眼科
- 过敏性眼部疾病
- 角膜外科手术
背景情况:
- 春季膜炎 (VKC) 是儿童和年轻人常见的慢性过敏眼病,特别是在热带地区.
- 可导致严重的角膜并发症,包括巨型角膜 (GP),护膜,四肢干细胞缺乏 (LSCD) 和角膜 (KC).
- 如果医疗治疗不足,这些并发症可能需要手术.
研究的目的:
- 审查目前用于管理与VKC相关的角膜并发症的手术策略.
- 分析与VKC相关的角膜问题的不同手术方法的结果.
主要方法:
- 使用PubMed,Scopus和谷歌学者进行了全面的文献审查,直到2025年.
- 分析了专注于外科治疗的GP,护甲,LSCD和VKC中的KC.
- 强调了手术的指示,技术,结果和辅助疗法.
主要成果:
- 耐火性GP可以通过外科切除和辅助药物,如米托辛-C或羊水膜移植来治疗.
- 护甲受益于除菌和羊水膜的使用,以防止痕.
- LSCD的治疗从结膜自移植到异构移植不同,而角质可能需要原交叉链接,环段或角质整形.
结论:
- 对于耐火性VKC角膜并发症和长期视力保护,手术治疗至关重要.
- 最佳的结果取决于根据疾病严重程度进行手术,并控制眼睛的炎症.
- 综合医疗,手术和免疫调节疗法的多学科方法至关重要.
相关概念视频
Angle Closure Glaucoma: Treatment
669
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
669
Open Angle Glaucoma: Treatment
557
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
557
Inflammatory Bowel Disease V: Surgical Management
206
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
206
Urinary Tract Calculi VI: Surgical Management
26
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
26


