摘要
目的 探讨白内障术后药物源性角膜病变的病因、临床特征和治疗方法.方法 对17例（19只眼）白内障术后发生药物源性角膜病变的病例进行回顾性总结分析.结果 经改变治疗方案7d后,73.7%的病例症状减轻,52.6%的病例角膜水肿明显消退,角膜病变严重的病例经14～30d的治疗可完全治愈.结论 白内障术后药物源性角膜病变是由于眼部不合理用药引起,临床表现为非特异性.白内障术后规范用药、关注滴眼剂对角膜的毒性作用对治疗和预防药物源性角膜病变至关重要.
Objective To study the pathogenesis, clinical characteristic and therapeutic methods of drug-induced keratopathy after cataract surgery. Methods The clinical data of 17 cases （19 eyes） with drug-induced keratopathy were retrospectively analyzed. Results The symptoms of 73.7% cases were reviewed 7 days after corrected treatment of medicament. The corneal edema of 52.6% cases obviously disappeared. The cases of serious keratopathy completely recovered in 14-30 days. Conclusions Drug-induced keratopathy after cataract surgery is mainly caused by abuse of topical drugs on the ocular surface with non-specifity as its major clinical manifestation. Doctors should pay attention to use drugs properly to avoid the toxicity of eye drops on the cornea. Proper prevention and active treatment are important to the drug-induced keratopathy after cataract surgery.
出处
《中国实用眼科杂志》
CSCD
北大核心
2011年第4期356-358,共3页
Chinese Journal of Practical Ophthalmology
关键词
角膜病变
药物作用
白内障
超声乳化
Keratopathy
Drug utilization
Cataract
Phacoemulsification
