单疱病毒性角膜炎继发青光眼的临床治疗

Herpes simplex keratitis secondary glaucoma

目的:探讨单疱病毒性角膜炎继发青光眼的临床特点、发病机理与治疗方法。方法:分析23例患者的临床资料。结果:该组病例的共同临床表现特点是:在原角膜病变的基础上出现眼球红痛症状加重,视功能损害明显,角膜水肿伴小水泡,不同程度的色素膜炎体征,瞳孔变化不大,眼压4.95￣6.65kpa。23例患者中,盘状角膜基质炎15例;角膜葡萄膜炎7例;树枝状角膜炎1例。经抗病毒、抗炎,联合降眼压药物治疗,全部病例均获临床治愈。结论:该病可能系单疱病毒侵袭小梁产生炎症及炎性渗出物堵塞小梁网导致眼压升高。治疗宜抗病毒、抗炎及降眼压药物综合治疗来控制炎症与眼压。

Objective To explore clinical ferture, pathogenesis and treatment methods of herpes simplex keratitis secondary glaucoma. Methods We analyzed clinical materials of 23 patients. Results Features of their clinical menifestation were pain and fullness, obvious conjestion, blurred vision, cornea oedema, various degree uveitis, and increased intraocular pressure (4.95~6.65kpa) based on primary keratopathy, pupils don't change a bit. 23 cases included disciform keratitis 15 cases, keratovitis 7 cases and dendriform keratitis 1 case. 23 cases were cured by antiviral, anti-inflammatary and reduce intraocular pressure treatment. Conclusion Glaucoma was caused by infective trabeculitis and Uveitis of herpes simplex virus. The inflammation and glaucoma could control through antiviral, anti-inflammatary and reduce intraocular pressure treatment.