小结
定义
病史和体格检查
关键诊断因素
- 翼状结膜样组织生长在角膜表面
- 长期紫外线暴露史
- 眼部刺激征、烧灼感、流泪
其他诊断因素
- 改变眼部美观
- 视力模糊
- 复视
危险因素
- 长期紫外线暴露
- 翼状胬肉家族史
- 长期眼部刺激
- 人类乳头状瘤病毒和埃波斯坦病毒感染
诊断性检查
首要检查
- 裂隙灯检查
- 荧光染色
治疗流程
无症状
眼部刺激、烧灼感或瘙痒：无视力损害、生长迅速，或有美观方面的顾虑
视力障碍或迅速扩大或影响美观
复发性翼状胬肉
撰稿人
作者
David O'Brart, MBBS, DO, MD, FRCS, FRCOphth
Consultant Ophthalmic Surgeon
Guy's and St. Thomas' NHS Foundation Trust
Professor of Corneal Science
Kings College
University of London
London
UK
利益声明
DB holds a non-commercial research grant with Rayner Ltd. through his NHS Trust for cataract surgery research within the NHS. He has equity in the medical imaging company Sparca Inc. and is on their medical advisory board. DB is currently negotiating with Johnson and Johnson for a non-commercial research grant for further cataract surgery research within the NHS. DB has held non-commercial research grants with Alcon Inc. and Avedro Inc. (now Glaukos Inc.) in the past 5 years for research within the NHS through his NHS Trust. He is an author of a number of references cited in this topic.
同行评议者
Carlos E. Diaz, MD
Assistant Professor
Department of Ophthalmology
University of Texas Health Science Center
San Antonio
TX
利益声明
CED is a speaker for Bio-Tissue, the developer of Amniograft amniotic membrane.
Robert E. MacLaren, DPhil, DipEd, FRCOphth, FRCS
Professor of Ophthalmology
Nuffield Laboratory of Ophthalmology
University Of Oxford
John Radcliffe Hospital
Oxford
UK
利益声明
REM declares that he has no competing interests.
鉴别诊断
- 假性翼状胬肉
- 睑裂斑
- 边缘性角膜炎
更多 鉴别诊断指南
- 临床管理指南：翼状胬肉
更多 指南
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