白内障术后非感染性角膜溃疡的研究进展

Progress on non-infectious corneal ulcering after uneventful phacoemulsification cataract surgery

白内障术后非感染性角膜溃疡作为白内障术后一种罕见的并发症可能与患者的自身免疫情况以及神经营养性角膜上皮病变相关,风湿性疾病、动脉炎、干燥综合征、克罗恩病、结核病、非甾体类抗炎药物的使用等均是白内障术后发生角膜溃疡的高危因素。本文就白内障术后非感染性角膜溃疡的病例报道和临床表现、发生机制、预防以及处理原则进行综述。

Non-infectious corneal ulceration after uneventful phacoemulsification cataract surgery is a rare complication after cataract surgery.It may be associated with autoimmune conditions and neurotrophic corneal epitheliopathy in patients.Rheumatoid disease,arthritis,Sjogren s syndrome,Crohn s disease,tuberculosis and using non-steroidal anti-inflammatory drugs are all high-risk factors for corneal ulceration after cataract surgery.This article reviews the cases report and clinical manifestations,mechanism of occurrence,prevention and treatment of corneal non-infectious ulceration after cataract surgery.