巩膜镜在史蒂文斯-约翰逊综合征和角膜病并发病例中的双重优势--病例系列

Karpagavalli Subramanian
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引用次数: 0

摘要

巩膜塑形镜(SL)是一种直径较大的镜片,与角膜塑形镜不同,它的镜片覆盖在巩膜上。这些镜片通过形成一个空间来填充无菌等渗液,从而不接触角膜。角膜塑形镜的适应症包括角膜异位症,如角膜炎(KC)、透明边缘变性,以及眼表疾病,如干眼症(DE)、史蒂文斯-约翰逊综合征(SJS)和移植物抗宿主疾病。SJS 中的角膜异位症鲜有报道,但仍然存在,它会导致严重的干眼症、畏光和视力模糊。在这种情况下,角膜接触镜是一种理想的治疗选择,因为它能为眼表提供持续的润滑,提高视力。本报告见证了 SL 对伴有 KC 的 SJS(一种罕见的组合)的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dual benefits of scleral lenses in collateral cases of Stevens-Johnson syndrome and Keratoconus-A case series
Scleral lenses (SL) are larger diameter lenses that rest over the scleral, unlike the corneal lenses. These lenses are fitted to not touch the cornea by creating a space that will be filled with sterile isotonic fluid. Indications of SL include corneal ectatic conditions such as keratoconus (KC), pellucid marginal degeneration,and ocular surface disorders such as dry eye (DE), Stevens-Johnson syndrome (SJS), and graft-versus-host disease. Corneal ectasia in SJS has been rarely reported but still exists, which causes severe DE, photophobia, and blurred vision. In such a scenario, SL is an ideal treatment option as they provide constant lubrication to the ocular surface and better visual acuity. This report witnessed the effectiveness of SL in SJS associated with KC – a rare combination.
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