UVA/核黄素交联治疗角膜融化。

Bulletin de la Societe belge d'ophtalmologie Pub Date : 2010-01-01

N Al-Sabai, C Koppen, M J Tassignon

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引用次数: 0

摘要

目的:探讨UVA/核黄素交联(CXL)对治疗抵抗性感染性角膜溃疡的抑制作用。方法:我们将提出一个病例报告，70岁的女性患者转诊严重感染性溃疡性角膜炎由铜绿假单胞菌引起。经过强化抗生素治疗后，角膜开始融化。为了避免即将发生的角膜穿孔，我们进行了CXL。结果:CXL治疗成功，角膜融化停止，病变愈合，避免了紧急角膜移植。结论:本病例报告强调了CXL可能是我们治疗角膜融化的治疗手段的一个有价值的补充。

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UVA/riboflavin crosslinking as treatment for corneal melting.

Purpose: To demonstrate that UVA/riboflavin crosslinking (CXL) can stop corneal melting in therapy resistant infectious corneal ulceration.

Methods: We will present a case report on a 70-year-old female patient referred for severe infectious ulcerative keratitis caused by Pseudomonas aeruginosa. After intensive treatment with fortified antibiotics, corneal melting developed. CXL was performed to avoid imminent corneal perforation.

Results: The CXL treatment was successful: the corneal melting was stopped and the lesion cicatrized, thereby avoiding emergency keratoplasty.

Conclusion: This case report highlights that CXL may be a valuable addition to our therapeutic armamentarium in the treatment of corneal melts.

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