含B族维生素的再生剂和修复剂局部应用于烧伤后睑粘连的疗效观察

Q4 Medicine
M. Gushсhina, D. Afanasyeva
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引用次数: 0

摘要

眼部烧伤可导致眼表复杂的解剖紊乱和功能障碍,以及眼睑结膜和穹窿,导致长期永久性的基底泪液分泌减少。有些患者需要手术治疗睑粘连,恢复眼睑位置、结膜穹窿和角膜透明度。然而,作为一个规则,是不可能解决干眼症的症状,由于失去了产生眼泪的元素。严重的泪液分泌减少会导致这些患者明显的不适,甚至在手术后良好的美容效果下也会导致角膜病变。为使眼部烧伤患者在康复的各个步骤中获得最佳效果,添加含B族维生素的角膜修复体和人工泪液是值得的。本文结合1例临床病例,介绍了局部应用含B族维生素的再生剂和修复剂治疗烧伤后睑粘连的疗效。角膜上皮增强,泪膜稳定性提高(泪液破裂时间从1秒变为3秒)。此外,这种治疗还可以矫正不适,改善视力(从0.1到0.4)。关键词:眼烧伤,人工泪液,润滑剂,乙醇,泛酸,B5,氰钴胺素,B12,角膜病变,干眼综合征。引用本文:gushstehina M.B, Afanasyeva D.S.。含有B族维生素的再生剂和修复剂在烧伤后睑粘连患者中的局部应用效果。俄罗斯临床眼科学杂志。2021;21(4):253-257。Doi: 10.32364/2311-7729- 2021-21-4-253-257。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficiency of topical application of regenerants and reparents containing group B vitamins in patients with post-burn symblepharon
Ocular burns can lead to complex anatomic disorders and dysfunctions of the ocular surface, as well as palpebral conjunctiva and fornixes, resulting in permanent decrease in basal tear production in long-term period. Some patients need surgery to treat symblepharon and restore eyelids position, conjunctival fornixes and corneal transparency. Nonetheless, as a rule, it is impossible to resolve symptoms of dry eye due to loss of tear-producing elements. Severe decrease of tear production causes significant discomfort for such patients and enforce keratopathy even in good cosmetic result after surgery. To provide the most optimal results on the all steps of the rehabilitation for the patients with ocular burns, it is worth to add cornea reparants and artificial tears containing group B vitamins. On the basis of a clinical case was showed efficiency of topical application of regenerants and reparents containing group B vitamins in patients with post-burn symblepharon. A cornea epithelization was enhanced and improved tear film stability (tear break-up time changed from 1 to 3 seconds). Moreover, such treatment also resulted in discomfort correction and better visual acuity (change from 0.1 to 0.4). Keywords: ocular burn, artificial tears, lubricants, dexpanthenol, pantothenic acid, B5, cyanocobalamin, B12, keratopathy, dry eye syndrome. For citation: Gushсhina M.B., Afanasyeva D.S. Efficiency of topical application of regenerants and reparents containing group B vitamins in patients with post-burn symblepharon. Russian Journal of Clinical Ophthalmology. 2021;21(4):253–257 (in Russ.). DOI: 10.32364/2311-7729- 2021-21-4-253-257.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
21
审稿时长
20 weeks
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