最近审阅: 1 十一月 2020
最近更新: 22 十月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 已知的潜在疾病病因
  • 使用已知致病药物
  • 丝状角膜炎

其他诊断因素

  • 眼部刺激/异物感
  • 眼部烧灼感
  • 暂时性视力模糊
  • 流泪
  • 睑缘炎/睑板腺炎
  • 点状上皮糜烂
  • 结膜点状糜烂
  • 结膜充血
  • 睑裂闭合不全
  • 眼球突出
  • 存在螨虫

危险因素

  • 女性
  • 老年
  • 睑缘炎/睑板腺炎
  • 结缔组织病
  • 维生素 A 缺乏症
  • 丙型肝炎
  • HIV
  • 造血干细胞移植
  • 屈光手术
  • 隐形眼镜的使用
  • 糖尿病
  • 全身性药物
  • 含防腐剂的局部眼科药物
  • 结节病
  • 帕金森病
  • 环境因素
  • 职业因素

诊断性检查

首要检查

  • 泪河高度(泪河测定)
  • 泪膜/荧光素破裂时间(TFBUT)
  • Schirmer试验
更多 首要检查

新兴检查

  • 泪膜渗透压测定法
  • 金属蛋白酶-9 (MMP-9) 检测
  • 角膜地形图
  • 眼表干涉测量
  • 红外热成像
  • 体内共聚焦显微镜
  • 眼表免疫标志物(OSIM)
更多 新兴检查

治疗流程

撰稿人

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

利益声明

JS declares that he has received travel and meeting costs from Novartis, Bayer, and DORC.

Consultant Ophthalmologist

James Cook University Hospital

Middlesbrough

UK

利益声明

PS declares that he has served on the advisory boards of and received travel grants from Bayer and Novartis. He has also received travel grants from Allergan.

Ophthalmology Specialist Registrar (ST7)

Sunderland Eye Infirmary

Sunderland

UK

利益声明

DSJT declares that he has no competing interests.

Consultant Ophthalmologist

Sunderland Eye Infirmary

Sunderland

UK

利益声明

SG declares that he has no competing interests.

同行评议者展开全部内容

Ophthalmology Resident

Wilmer Eye Institute

Baltimore

MD

利益声明

IW declares that she has no competing interests.

Consultant Ophthalmic Surgeon

King's College Hospital

Honorary Research Fellow

Institute of Ophthalmology

London

UK

利益声明

GG declares that he has no competing interests.

Assistant Professor

Ophthalmology

University of New Mexico Medical School

Albuquerque

NM

利益声明

BA declares that he has no competing interests.

Co-Director

Penn Dry Eye and Ocular Surface Center

Assistant Professor

Cornea and External Disease

Scheie Eye Institute

Philadelphia

PA

利益声明

VYB declares that she has no competing interests.

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