[角膜烧伤:临床概况、前节光学相干断层扫描的作用和处理方法--八个病例]。

Annals of burns and fire disasters Pub Date : 2024-06-30 eCollection Date: 2024-06-01
N Ben Abdesslem, A Mahjoub, R Chaabene, N Zaafrane, I Sellem, R Bel Hadj Letaief, C Ben Youssef, A Jouini, H Mahjoub, M Ghorbel
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引用次数: 0

摘要

眼部灼伤有三种原因:化学性(由酸性或碱性物质引起)、光性(由紫外线辐射引起)或热性。我们报告了 8 例眼部烧伤患者(3 例热烧伤,5 例化学烧伤)的病例。根据 Dua 分级,其中一名患者为 2 级烧伤,两名患者为 3 级损伤,一名患者为 4 级损伤。一名患者的右眼为 3 级损伤,左眼为 4 级损伤。两名患者接受了前段光学相干断层扫描(AS-OCT)检查,结果显示角膜脱皮、角膜增厚,后基质出现高反射线。所有患者都接受了局部抗生素、局部皮质类固醇激素、环磷酰胺和润湿剂等药物治疗。五名患者接受了门诊治疗,临床症状有所改善。三名患者住院治疗,其中一人接受了羊膜移植术(AMG),一人在接受羊膜移植术后进行了经固定角膜移植术(TK),另一人计划进行经固定角膜移植术。眼部烧伤有很大的功能风险,需要及时有效地处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[CORNEAL BURN: CLINICAL PROFILE, CONTRIBUTION OF ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY AND MANAGEMENT - EIGHT CASES].

Ocular burns can have three origins: chemical (by acid or alkaline agents), luminous (by ultraviolet radiation) or thermal. We report the cases of eight patients with ocular burns (3 thermal and 5 chemical). Of these, one patient had a grade 2 burn according to the Dua classification, two had grade 3 damage and one had grade 4. One patient had grade 3 damage in the right eye and grade 4 in the left eye. Anterior segment optical coherence tomography (AS-OCT) was performed in two patients, showing corneal de-epithelialization, corneal thickening and a hyper-reflective line in the posterior stroma. All patients received medical treatment with topical antibiotics, topical corticosteroids, cycloplegics and wetting agents. Five patients had outpatient treatment with clinical improvement. Three patients were hospitalized, one of whom received an amniotic membrane graft (AMG), one had an AMG followed by a transfixing keratoplasty (TK), and the other is scheduled for a TK. Ocular burns are associated with significant functional risk, warranting prompt and effective management.

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