老年人带状疱疹性眼病的特点  

The characteristics of herpes zoster ophthalmicus in the aged

作　　者：陈嘉莹[1] 郑小薇[1] 黄雄[2] 

机构地区：[1]汕头大学医学院第一附属医院眼科,广东汕头515040 [2]汕头大学医学院第一附属医院皮肤科,广东汕头515040

出　　处：《眼科》2004年第4期216-218,共3页Ophthalmology in China

摘　　要：目的 :探讨老年人带状疱疹性眼病 (HZO)的临床特点及治疗转归。方法 :将 78例老年组与 72例非老年组HZO病例进行回顾性对比研究。结果 :两组共有的眼部病变为睑皮疹、结膜炎、角膜炎和虹膜睫状体炎 ,但老年组还有继发性青光眼、视神经炎和颅神经损害导致之上睑下垂、眼睑闭合不全、角膜知觉缺失和眼外肌麻痹等眼部并发症。老年组全病程平均治愈时间比非老年组长 ,(47 3± 3 7)天比 (18 5± 5 6 )天 ,P <0 0 1。结论 :老年人带状疱疹性眼病并发症多且严重 ,所需治愈时间长 (P <0 0 1) ,强调疗程中加强对全身性疾病综合治疗的重要性。Objective:To study the clinical characteristics,treatment and recovery of herpes zoster ophthalmicus(HZO)in the aged.Methods:78 elderly patients(≥60 years old)with HZO (elderly group)were analysed and compared retrospectively with 72 adults with HZO(adult group,as control).Results:Complications in both groups were dermatitis of lids,conjunctivitis,keratitis and iridocyclitis.Besides these,elderly group has more complications,such as complicated glaucoma,optic neuritis and cranial nerve lesions(resulted in ptosis,lagophthalmus,corneal anaesthesia and external ophthalmoplegia).It required a longer time to cure the ocular disorders in elderly group(47 3±3 7 days vs.18 5±5 6 days, P <0 01).Conclusions:The patients with HZO in the aged have much more and severe complications,require a relatively long duration to recover.The impaired vision,even loss of vision,in some patients is directly related to the corneal scars and the optic nerve atrophy due to the missed diagnosis and therapy.The importance to pay attention to the compositive therapy of the systemic diseases is to be emphasized.

关 键 词：带状疱疹性眼病/并发症 

分 类 号：R771.3[医药卫生—眼科]