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目的:探讨风湿性病变所致的眼部疾病相关因素的临床表现,旨在为眼科临床医学提供理论依据。方法:对于干眼症笔者给予人工泪液缓解症状,对角膜溃疡较浅的早期病例应用0.5%肝素及1%环孢霉素A或0.05%FK506点眼,对于角膜溃疡面较深,或接近穿孔、已穿孔者,可行板层或全层角膜、巩膜移植术。结果:风湿相关疾病所致眼表损害临床并不少见,在发现角巩膜无菌性溃疡患者要考虑到全身情况,多可做出正确诊断及适当处理。结论:为避免延误此类疾病的诊治,眼科医师应对此类疾病的临床表现有充分的认识。
Objective: To investigate the clinical manifestations of rheumatic diseases caused by eye diseases related factors, aims to provide theoretical basis for clinical ophthalmology. Methods: For dry eye I give artificial tears to relieve symptoms, early cases of corneal ulcer shallow application of 0.5% heparin and 1% cyclosporine A or 0.05% FK506 eye, the corneal ulcer surface is deep, or close to perforation, Perforated who, viable plate or full-thickness corneal scleral graft. Results: The ocular surface damage caused by rheumatism-related diseases is not uncommon. When it is found that patients with aseptic ulcer of the sclera should take systemic conditions into account, correct diagnosis and appropriate treatment can be made. Conclusion: To avoid delays in diagnosis and treatment of such diseases, ophthalmologists should have a thorough understanding of the clinical manifestations of such diseases.