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題 名 | Recurrent Herpetic Keratitis Induced by Laser Iridectomy: Case Report=雷射周邊虹膜穿孔術引發復發疱疹性角膜炎:病例報告 |
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作 者 | 黃朝銘; 吳為吉; 蔡瑞芳; | 書刊名 | 長庚醫學 |
卷 期 | 22:3 1999.09[民88.09] |
頁 次 | 頁515-519 |
分類號 | 416.748 |
關鍵詞 | 雷射周邊虹膜穿孔術; 復發性疱疹角膜炎; Laser iridectomy; Recurrent herpetic keratitis; |
語 文 | 英文(English) |
中文摘要 | 疹性角膜炎復發之機轉仍被未明瞭,在臨床之觀察,此病之復發和一些內生或外 生之刺激有關。例如陽光、發燒、月經來臨、精神壓力等,在動物實驗方面,導致復發的方 法大都是利用角膜之受損、發炎、神經之刺激或切除營養角膜之神經來誘發 疹之產生。而 雷射周邊虹膜切除術乃是治療閉鎖性青光眼之標準方法,目前已知其對角膜內皮細胞可能造 成傷害,然雷射本身可造成 疹之復發則從未被報導。本文報告一病例其復原性 疹角膜 炎乃由雷射周邊虹膜穿孔術所誘發,雷射周邊虹膜穿孔術的位置與角膜炎之位置有強烈相 關,其確定診斷乃由其臨床表現與對全身性之抗病毒藥物之良好反應所支持。雖然目前施行 雷射周邊虹膜穿孔術之雷射能量對角膜內皮細胞大體來說相當安全,此併發症之可能仍存 在,故臨床醫師仍要加以小心。 |
英文摘要 | The mechanism for herpetic keratitis reactivation remains unclear. When observed clinically, the reactivation may be associated with a variety of endogenous and exogenous stimuli, such as strong sunlight, fever, menstruation, and psychiatric disturbances. In experimental studies, most methods of inducing recurrence have involved some degree of corneal trauma, inflammation, neuronal stimulation, or damage to the nerves that innervate the cornea. Although corneal damage after laser iridectomy (LI) is well documented, recurrent herpetic keratitis induced by LI has never been reported. Here we present an unusual case of recurrent herpetic keratitis induced by LI. The location of the bullous keratopathy was strongly correlated to the site of laser iridectomy. Clinical findings as well as the dramatic response to antiviral treatment supported the diagnosis. Although the energy for laser iridectomy is relatively safe for most circumstances, the possibility of inducing herpetic keratitis cannot be ignored. Therefore it is important for clinicians to beware of this potential complication. |
本系統中英文摘要資訊取自各篇刊載內容。