摘要
目的了解异位性皮炎的眼部并发症,以使患者得到早期治疗。方法对29例异位性皮炎患者采用裂隙灯、三面镜或间接检眼镜、眼部A型超声、B型超声、UBM和角膜地形图进行眼部检查。结果29例(58眼)患者中过敏性结膜炎8眼(13.8%),角膜结膜炎6眼(10.3%),白内障6眼(10.3%),视网膜裂孔3眼(5.2%),视网膜脱离3眼(5.2%),圆锥角膜1眼(1.7%)。眼表疾病经治疗大部分可以治愈或缓解;而严重的视网膜脱离会引起视力严重损害。结论异位性皮炎可并发多种眼部并发症,早期常规眼科检查很有必要,特别对于视网膜裂孔或视网膜脱离患者,早期检查可使大部分患者避免手术或防止严重并发症的发生。
Objective Atopic dermatitis （AD）is a common skin disease that is usually associated with several ocular complications, including eczema of the eyelids, blepharitis, trichiasis, ptosis, keratoconjunctivitis, keratoconus, superficial punctate keratitis,cataract,uveitis,retinal breaks and retinal detachment. However,ocular examinations are usually ignored because of the symptoms of skin. The goal of this study was to describe the ocular findings of patients with active AD. Methods Routine ophthalmic examinations including slit-lamp biomicroscope, indirect ophthalmoscope or Goldmann three-mirror lens, A-scan, B-scan,ultrasound biomicroscope（UBM） and corneal topography were carried out in 29 patients with active AD in the Department of Ophthalmology and Dermatology Department of Ruijin Hospital. Results Allergic conjunctivitis （13.8%）, keratoconjunctivitis（ 10. 3% ） ,cataract（ 10. 3% ） ,retinal breaks （5.2%） ,retinal detachments（5.2% ）and keratoconus （ 1.7% ） were found in the patients with active AD. The many ocular surface diseases secondary to AD patients were cured by relevant management during the follow-up period. The vision was distinctly reduced in 2 eyes of 1 patient due to severe retinal detachment and proliferative vitroretinopathy. Conclusion Ocular complications of AD patients are common in clinic. A careful clinical examination of eyes is essential during the management of AD patients, especially for the patients with retinal breaks or retinal detachment.
出处
《眼科研究》
CSCD
北大核心
2007年第7期544-546,共3页
Chinese Ophthalmic Research
关键词
异位性皮炎
过敏性结膜炎
角膜结膜炎
白内障
视网膜脱离
atopic dermatitis
allergic conjunctivitis
keratoconjunctivitis
cataract
retinal detachment
