关注表层点状角膜病变的鉴别诊断

The importance of differential diagnosis of superficial punctate keratopathy

表层点状角膜病变是临床常见的角膜上皮和浅基质层异常。临床引起表层点状角膜病变的原发疾病众多,因此本文提出对原发疾病进行鉴别诊断尤为重要,是表层点状角膜病变诊疗中的关键环节。同时,本文指出由于表层点状角膜病变的症状和体征缺乏特异性,因此必须提高认识,力求采用正确的诊断思路,结合病史以及裂隙灯显微镜、共聚焦显微镜和其他检查的结果进行综合分析,通过充分鉴别,正确判断原发疾病,以便为确定治疗方案和评估治疗效果提供客观依据。

Superficial punctate keratopathy is a common ocular abnormality with the corneal epithelium and superficial corneal stroma involved.Various primary diseases can lead to superficial punctate keratopathy.Therefore,the differential diagnosis of the etiologies of superficial punctate keratopathy is crucial.Due to the absence of specific symptoms and signs,it is important to have an overall recognition of the disease and adopt necessary examinations for differential diagnosis.Acquisition of a detailed medical history,slit-lamp examination,in vivo laser scanning confocal microscopy,and other diagnostic tools should be combined to make an accurate diagnosis of the primary disease of superficial punctate keratopathy and provide objective evidences for the determination of treatment regimen.