乳化硅油滴在活体角膜内皮的共焦显微镜表现  

Emulsified silicone oil droplets of the corneal endothelium by in vivo laser confocal microscopy

作　　者：黎明[1] 姚晓明[1] 赵铁英[1] 刘身文[1] 秦波[1] 何静[1] 林宝涛[1] 曹端荣[1] 

机构地区：[1]暨南大学附属深圳市眼科医院,深圳518000

出　　处：《中国实用眼科杂志》2011年第4期316-318,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 采用角膜激光共焦显微镜观察乳化硅油滴在活体角膜内皮面的形态,比较并总结其特点.方法 应用自身对照研究.对近年来在深圳市眼科医院就诊的20例（20只眼）临床硅油乳化的患者采用激光角膜共焦显微镜检查其角膜,分析研究其图像特点,总结乳化硅油滴在活体角膜内皮的共焦显微镜表现.结果 乳化硅油滴在角膜内皮面有着不同的大小和排列方式,镶嵌于角膜内皮面,并伴有角膜内皮细胞的明显水肿增大,内皮细胞的结构不清,仅有模糊轮廓.结论 采用新型的激光角膜共焦显微镜可以观察到乳化硅油滴对角膜内皮细胞的直接损害.该检查是一种对人体无害、可以反复进行,并且连续观察角膜内皮变化的工具,对评估乳化硅油滴对角膜的损害具有重要作用.Objective To study the emulsified silicone oil droplets in the corneal endothelium by in vivo laser confocal microscopy, compare and summarize its characteristics. Methods The corneas of 20 patients （20 eyes） with silicone oil emulsion were examined by in vivo laser confocal microscopy, analyzed the characteristics of the images, and summarized the performance of emulsified silicone oil droplets in corneal endothelium with confocal microscopy. Results Emulsified silicone oil droplets in the corneal endothelium had a different size and arrangement, embedded in the corneal endothelium and come al endothelial cells associated with increased edema; endothelial cell structure was unclear, with only vague outlines. Conlulusions New type of laser corneal confocal microscope can observe the corneal endothelium damage by emulsified silicone oil drops directly. The inspection is a harmless, can be repeated and continuous observation of corneal endothelial changes in the tools. The laser corneal confocal microscope plays an important role on the assessment of silicon emulsion oil droplets on the cornea in the damage.

关 键 词：激光共焦显微镜 乳化硅油 角膜内皮 

分 类 号：R772.21[医药卫生—眼科]