重视蠕形螨性睑缘炎的诊治  

Emphasizing the diagnosis and treatment of Demodex blepharitis

作　　者：刘祖国 梁凌毅[2] 

机构地区：[1]厦门大学眼科研究所厦门大学附属厦门眼科中心,361102 [2]中山大学中山眼科中心眼科学国家重点实验室,广州510060

出　　处：《中华实验眼科杂志》2018年第2期81-85,共5页Chinese Journal Of Experimental Ophthalmology

基　　金：国家自然科学基金项目（81770892）;广东省科技计划项目（20148020226003）;广州市科技计划项目（201510010219）

摘　　要：睑缘炎是眼科常见的疾病之一，轻者导致患者眼部刺激症状，严重者可由于累及睑板腺和角膜而影响视力乃至引起视功能的损害。近年越来越多的研究发现蠕形螨感染可能是睑缘炎的重要病因之一，其诊断和治疗成为目前睑缘炎的关注重点，临床医生应对此予以足够的重视。蠕形螨性睑缘炎临床上目前仍然面临许多未确定的问题与挑战。本文就该病诊断和治疗方面存在的争议问题，结合国内外研究结果与笔者的经验进行分析，并就如何提高临床诊断的正确率和改善该病的治疗效果展开讨论。重视对蠕形螨性睑缘炎的诊断与治疗将有助于提高睑缘炎以及睑板腺功能障碍（MGD）的诊断和治疗水平，最终改善该病的整体预后。Blepharitis is one of the common eye diseases,it may cause ocular irritation symptoms, and even cause damage of visual function, if it involves the meibomian gland and cornea. Recent studies have shown that Demodex infestation may be an important but under-estimated cause of blepharitis,its diagnosis and treatment become the focus of blepharitis research,clinical doctors should pay adequate attention to this. Demodex blepharitis still faces many uncertain problems and challenges. In this paper, the controversial problems of Demodex blepharitis diagnosis and treatment,combined with domestic and foreign research results and the author＇s experience was analyzed,and we also discussed that how to improve the accuracy of clinical diagnosis and improve the treatment effect of Demodex blepharitis. Herein, we emphasize on the diagnosis and treatment options of Demodex blepharitis. Early detection of the pathogen and prompt treatment would ultimately improve the prognosis of Demodex blepharitis.

关 键 词：蠕形螨性睑缘炎/诊断&治疗 眼部感染 睑缘炎 蠕形螨病 眼表炎症 

分 类 号：R777.1[医药卫生—眼科]