重视单纯疱疹病毒性角膜炎内皮型的诊治

Strengthen the study of several issues on diagnosis and treatment of the corneal herpetic endotheliitis

单纯疱疹病毒性角膜炎（HSK）是我国主要的致盲性眼病之一,包括上皮型、基质型及内皮型,其中HSK内皮型,目前临床分类多样,一些患者临床表现特殊,增加了诊断难度,同时也造成了治疗上的混乱.因此,建议把若干种HSK内皮炎归类为HSK内皮型,有利于制定并推广对HSK内皮型规范化治疗方案,提高治愈率,减少因误诊致角膜内皮细胞功能失代偿的几率,从而达到降低致盲率的目的.

Herpes simplex keratitis （HSK）, including epithelial keratitis, stromal keratitis, and endotheliitis, is one of the major blinding eye diseases in China. Corneal herpetic endotheliitis has a variety of clinical manifestations, which causes much difficulty for diagnosis and treatment. This paper suggests a uniform classification of corneal herpetic endotheliitis, which helps to the set up and wide application of a standard treatment protocol. As a result, the cure rate would be increased significantly, corneal endothelium loss due to misdiagnosis would be reduced, and finally the blindness rate of HSK would be lowered.