20%蜂蜜溶液滴眼液治疗儿童和青少年甲状腺疾病前后眼部变化的研究

J. Jankauskiene, D. Jarusaitiene, V. Čeksterytė
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摘要

本研究的目的是调查儿童和青少年甲状腺疾病患者在20%蜂蜜溶液滴眼液治疗前后的眼部变化。本组共检查甲状腺疾病及角膜、结膜病变患者33例。有25个女孩和8个男孩。他们的年龄在6岁到29.5岁之间。患者平均年龄13.2±3.7岁。17例采用20%蜂蜜溶液滴眼液治疗,16例采用人工泪液治疗(每日3次,连用3周)。观察治疗前后结膜、角膜、视力、眼球突出情况。所有患者均接受了完整的眼科检查,包括最佳矫正Snellen视力、裂隙灯、角膜敏感性检查和Hertel眼测术。与使用人工泪液的患者相比,20%蜂蜜滴眼液治疗减少了患者的抱怨(畏光、瘙痒、异物感、撕裂和眼球疼痛),统计学上显著改善了视力、结膜(发红、肿胀)和角膜(荧光素染色、角膜敏感性和糜烂)的状况。治疗后,预后测量没有变化。我们发现20%蜂蜜溶液滴眼液对甲状腺疾病患者结膜和角膜的状态有更积极的影响,在甲状腺疾病早期开始治疗,而角膜没有损伤。20%蜂蜜溶液滴眼液减少了患者的抱怨,统计学上显著改善了视力、结膜(红肿)和角膜的状况。蜂蜜滴眼液可用于预防甲状腺疾病患者的结膜和角膜并发症以及角膜、结膜的改变。DOI: http://dx.doi.org/10.5755/j01.ct.61.3.2714
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Investigation of ocular changes in children and young people with thyroid diseases before and after the treatment with 20 % honey solution eye drops
The objective of the study was to investigate ocular changes in children and young patients with thyroid diseases before and after the treatment with 20 % honey solution eye drops. There were examined 33 patients with thyroid diseases and corneal, conjunctival changes. There were 25 girls and 8 boys. Their age was from 6 to 29.5 years. Mean age of patients was 13.2 ± 3.7 years old. 17 patients were treated with 20 % honey solution eye drops, 16 – with artificial tears (three times a day, for 3 weeks). There was evaluated the state of eye conjunctiva and cornea, visual acuity, proptosis before and after the course of treatment. All patients underwent a complete ophthalmic examination including best-corrected Snellen visual acuity, slit–lamp, corneal sensitivity investigations and Hertel exophthalmometry. The treatment with 20 % honey eye drops reduced complaints of patients (photophobia, itching, foreign body sensation, tearing and pain of the eye ball), statistically significant improved visual acuity, status of conjunctiva (redness, swelling) and cornea (fluorescein staining, corneal sensitivity and erosions) in comparison with those patients who used artificial tears. There was no change in proptosis measurements after the treatment. We have found more positive effect of 20 % honey solution eye drops on the state of the conjunctiva and cornea in patients with thyroid diseases when the treatment was started at the early period of thyroid diseases while there were no corneal damages. 20 % honey solution eye drops reduced complaints of patients, statistically significant improved visual acuity, status of conjunctiva (redness, swelling) and cornea. Honey eye drops may be used to prevent conjunctival and corneal complications in patients with thyroid diseases and corneal, conjunctival changes. DOI: http://dx.doi.org/10.5755/j01.ct.61.3.2714
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