52例猫坏死性角膜炎病例报告  

Report on 52 Cases of Feline Necrotizing Keratitis

作　　者：李晶[1] 刘畅[1] 金艺鹏[2] LI Jing;LIU Chang;JIN Yipeng(China Agricultural University Veterinary Teaching Hospital,Beijing 100193,China;College of Veterinary Medicine,China Agricultural University,Beijing 100193,China)

机构地区：[1]中国农业大学动物医院,北京海淀100193 [2]中国农业大学动物医学院,北京海淀100193

出　　处：《中国兽医杂志》2024年第5期132-135,共4页Chinese Journal of Veterinary Medicine

摘　　要：猫坏死性角膜炎是一种常见的猫角膜疾病,我国针对该病的研究较少,治疗方案不一。本试验收集2019年1月─2021年1月在中国农业大学动物医院就诊的52例猫坏死性角膜炎病例(共56只患眼),对病例统计分析,总结该病特征性的临床症状,讨论不同治疗方案的优缺点。结果显示,猫坏死性角膜炎高发品种为异国短毛猫(22/52,42.3%),高发年龄段为<7岁(50/52,96.2%),慢性角膜刺激是该病的常见病因。在52例患猫病例中,34例(共38只患眼)进行角膜切除术治疗,其中22只患眼同时进行了第三眼睑遮盖术,另外16只患眼同时进行了结膜瓣遮盖术。2例患猫病例术后出现坏死性角膜炎复发,均为年轻斯芬克斯猫。结果表明,角膜切除术是治疗猫坏死性角膜炎的首选治疗方案,坏死角膜的残留可能造成术后复发。Feline necrotizing keratitis is a common corneal disease in cats,with limited research and varied treatment approaches in China.This study collected 52 cases(56 affected eyes)of feline necrotizing keratitis seen at the China Agricultural University Veterinary Teaching Hospital from January 2019 to January 2021.The cases were statistically analyzed to summarize the characteristic clinical symptoms of the disease and discuss the advantages and disadvantages of different treatment options.The results showed that the most common breed affected by feline necrotizing keratitis was the Exotic shorthair(22/52,42.3%),and the most affected age group was<7 years old(50/52,96.2%).Chronic corneal irritation was a common cause of the disease.Among the 52 cases,34 cases(38 affected eyes)underwent keratectomy,with 22 affected eyes undergoing third eyelid covering surgery and 16 affected eyes undergoing conjunctival flap covering surgery simultaneously.Two cases experienced recurrence of necrotizing keratitis after surgery,both in young Sphinx cats.These results indicate that keratectomy is the preferred treatment for feline necrotizing keratitis,although residual necrotic cornea may lead to postoperative recurrence.

关 键 词：猫坏死性角膜炎 角膜切除术 第三眼睑遮盖术 结膜瓣遮盖术 

分 类 号：S858.293[农业科学—临床兽医学]