蚕蚀性角膜溃疡发生隐匿性穿孔的研究  

The clinic study of the occult perforation in Mooren＇s ulcer

作　　者：黎明[1] 姚晓明[1] 彭云[1] 林宝涛[1] 曾爱能[1] 

机构地区：[1]暨南大学附属深圳市眼科医院,深圳518040

出　　处：《中国实用眼科杂志》2013年第7期857-859,共3页Chinese Journal of Practical Ophthalmology

基　　金：深圳市科技计划项目（200902121）

摘　　要：目的采用眼前节全景OCT研究蚕蚀性角膜溃疡发生隐匿性穿孔的情况，为临床诊治提供依据。方法采用眼前段全景OCT观察蚕蚀性角膜溃疡，发现溃疡灶内口角膜组织缺损则定为隐匿性穿孔，并测量穿孔内径。结果眼前节全景OCT发现蚕蚀性角膜溃疡隐匿性穿孔的发生率为8．3％，穿孔内口直径最小为1．8mm，最大为4．5mm，平均为（3．1±0．97）mm。结论对蚕蚀性角膜溃疡患者进行眼前节全景OCT检查，有助于发现隐匿性穿孔的情况，对于评估患者的预后及手术方案的设计有重要作用。Objective To study the occult perforation in Mooren＇s ulcer by anterior segment OCT, and provide the basis for clinical diagnosis and treatment. Methods Defined the inner lesions of Mooren＇s ulcer as the occult perforation by anterior segment OCT, and measured the perforated inner diameter. Results The occult perforation rate of Mooren＇s ulcer were 8.3%, the minimum in- ner diameter of occult perforation was 1.8mm, the maximum inner diameter of that was 4.5mm, aver- age of that was 3.1 ±0.97mm. Conclusions It＇s helping to identify occult perforation of Mooren＇ s ulcer by anterior segment OCT, and has an important role for the assessment of the patient＇s prog- nosis and surgery program design.

关 键 词：蚕蚀性角膜溃疡 眼前节全景OCT 隐匿性穿孔 

分 类 号：R772.21[医药卫生—眼科]