一位老年农民患上角膜行动性角质炎:一个罕见的病例报告
Iqra Mushtaq1, Kalibo Jakhalu1, Mandava Bharath Kumar2
1Department of Ophthalmology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, India.
Case reports in ophthalmology
|December 5, 2025
概括
眼睛表面的眼球角质炎 (AK) 是一种罕见的先发性病变,可以模仿眼睛表面状瘤 (OSSN). 通过组织病理学及手术切除与局部化疗及时诊断可以有效地管理这种情况.
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:
- 行动性角质炎 (Actinic keratosis,简称AK) 是一种与慢性紫外线暴露相关的先发性上皮病变,通常发生在暴露于阳光的皮肤上.
- 眼表面AK不常见,但在临床上可能与眼表面状瘤 (OSSN) 相似.
- 正确的诊断和管理是必不可少的,因为AK的先发性质.
研究的目的:
- 报告一种罕见的眼球表面动态角质炎病例.
- 突显组织病理学确认在区分AK与OSSN方面的重要性.
- 讨论如何有效地管理眼睛表面的AK.
主要方法:
- 一个78岁的男性患有角膜病变的病例介绍.
- 临床检查包括视力敏度和裂纹灯生物显微镜.
- 手术切除病变,然后进行组织病理学分析.
- 术后治疗局部使用米托米C和普雷迪尼索隆酸盐.
主要成果:
- 组织病理学证实了角膜损伤是行为性角质炎 (AK).
- 患者在手术后接受了局部化疗和皮质类固醇.
- 在随访期间没有观察到病变的复发.
结论:
- 眼表面AK是一种罕见的实体,需要仔细的临床评估和组织病理学确认.
- 手术切除与辅助局部化疗相结合是一种有效的治疗策略.
- 这种方法有助于预防复发和潜在的恶性转变.
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