国际眼科纵览

• 综述 • 上一篇    下一篇

角膜层间积液综合征

林可劼  童绎   

  1. 350001 福州东南眼科医院
  • 收稿日期:2017-03-15 出版日期:2017-08-22 发布日期:2017-09-01
  • 通讯作者: 童绎,Email:emouse@163.com E-mail:emouse@163.com

Corneal interface fluid syndrome

LIN Ke-jie, TONG Yi   

  1. Fuzhou South-East Eye Hospital, Fuzhou 350001, China
  • Received:2017-03-15 Online:2017-08-22 Published:2017-09-01
  • Contact: TONG Yi, Email: emouse@163.com E-mail:emouse@163.com

摘要:

角膜层间积液综合征是指角膜基质层间出现间隙,房水渗入其间,使实质层分离,导致视力严重下降的一种疾病。其发病原因为板层屈光手术后任何原因引起的眼压增高或角膜内皮功能障碍,引发角膜水肿,出现层间积液。由于此病较为罕见,临床上角膜层间混浊近似弥漫性板层角膜炎,角膜中央部眼压隐匿性增高,极易误诊漏诊。通过眼前节相干光断层扫描检查,可明确诊断。积极寻找原发病因、早期诊断、及时准确治疗,预后一般良好。

Abstract:

Corneal interface fluid syndrome is the aqueous infiltration into the interstitial space between corneal stroma, so that the stroma separation, which causes vision loss. The cause of this disease is any reason  that leads to the intraocular pressure (IOP) increasing or endothelial cell dysfunction, and then the corneal edema and corneal interface fluid after laser lamellar corneal refractive surgery. The main clinical features such as the stromal scar with interface haze is similar to diffuse lamellar keratitis, increased IOP in the central of cornea may be hidden. It was easily misdiagnosised and missed diagnosis in clinical. The AS-OCT examination can determine the diagnosis. With early diagnosis and accurate treatment, its prognosis is good.