疱疹性内皮炎诱发界面流体综合征，激光原位角膜磨砂术后16年。

IF 1.9 3区医学 Q2 OPHTHALMOLOGY Cornea Pub Date : 2025-01-21 DOI:10.1097/ICO.0000000000003820

Matthew Bough, Bryce Hwang, Matthew Santos, Zeba A Syed

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引用次数: 0

摘要

目的：报告一例单纯疱疹病毒（HSV）内皮炎引起急性界面液综合征的患者，该患者有激光原位角膜磨除术（LASIK）的长期病史。方法：病例报告和文献复习。结果：51岁男性，16年前有LASIK病史，表现为单侧HSV内皮炎，并发继发于内皮失代偿的急性界面液综合征。患者口服伐昔洛韦1 g每日3次，醋酸泼尼松龙1%滴剂每日4次，马来酸替马洛尔0.5%滴剂每日2次，外用5%氯化钠高渗眼液滴剂每日4次，5%氯化钠高渗眼膏每晚1次。随访1个月，患者界面积液完全溶解，视力恢复到基线水平。结论：本病例强调了在LASIK术后10年以上的界面液综合征中考虑病毒病因的重要性，如HSV内皮炎。

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Herpetic Endotheliitis Induced Interface Fluid Syndrome 16 years After Laser in Situ Keratomileusis.

Purpose: To report a case of herpes simplex virus (HSV) endotheliitis inducing acute interface fluid syndrome in a patient with a remote history of laser in situ keratomileusis (LASIK).

Methods: Case report and literature review.

Results: A 51-year-old man with a history of LASIK 16 years prior presented with unilateral HSV endotheliitis and was found to have acute interface fluid syndrome secondary to endothelial decompensation. The patient was treated with oral valacyclovir 1 g 3 times daily, prednisolone acetate 1% drops 4 times daily, timolol maleate 0.5% drops twice daily, topical 5% sodium chloride hypertonic ophthalmic solution drops 4 times daily, and 5% sodium chloride hypertonic ophthalmic ointment nightly. At 1-month follow-up, the patient had full resolution of the interface fluid and returned to baseline visual acuity.

Conclusions: This case underscores the importance of considering viral etiologies, such as HSV endotheliitis, in interface fluid syndrome beyond a decade after LASIK.

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来源期刊

Cornea 医学-眼科学

CiteScore

5.20

自引率

10.70%

发文量

354

审稿时长

3-6 weeks

期刊介绍： For corneal specialists and for all general ophthalmologists with an interest in this exciting subspecialty, Cornea brings together the latest clinical and basic research on the cornea and the anterior segment of the eye. Each volume is peer-reviewed by Cornea''s board of world-renowned experts and fully indexed in archival format. Your subscription brings you the latest developments in your field and a growing library of valuable professional references. Sponsored by The Cornea Society which was founded as the Castroviejo Cornea Society in 1975.