春季卡他性结膜炎和角膜并发症的临床观察

Clinical Observation of Vernal Keratoconjunctivitis and Corneal Complications

摘要: 目的：探讨与春季卡他性结膜炎有关的角膜并发症，以及这些并发症对视力的损伤程度。方法：选取2014年至2016年度在我院门诊就诊的部队官兵，诊断为春季卡他性结膜炎共90人180只眼。春季卡他性结膜炎诊断依据是患者病史及眼部检查。Snellen’s视力表记录视力。视力损伤分类依据世界卫生组织关于视力损伤的标准进行分类。结果：入组患者平均年龄19.75 ± 6.03。入组患者均为男性(100%)。伴有角膜瘢痕的38只眼(21.1%)，伴有圆锥角膜的11只眼(6.1%)，伴有角膜盾形溃疡的4只眼(2.2%)，2只眼(1.1%)有角膜新生血管长入。结论：春季卡他性结膜炎出现角膜并发症是可导致严重后果，甚至视力丧失。

Abstract: Objective: To investigate the corneal complications associated with vernal keratoconjunctivitis, and the degree of damage to vision in these complications. Methods: The soldiers of the outpatient department of our hospital from 2014 to 2016 were selected for the diagnosis of 180 eyes of 90 people in the vernal keratoconjunctivitis. The diagnosis of the vernal keratoconjunctivitis is based on the patient's history and eye examination. The Snellen’s visual chart records vision. Visual im-pairment is classified according to the world health organization's criteria for visual impairment. Results: The mean age of the patients was 19.75 ± 6.03. All the patients in the group were male (100%). There were 38 eyes with corneal scar (21.1%), 11 eyes with conical cornea (6.1%), 4 eyes (2.2%) with corneal shield ulcer, and 2 eyes (1.1%) with corneal neovascularization. Conclusion: Corneal complications can result in severe consequences, even loss of vision.