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目的探讨眼部带状疱疹的临床特点、鉴别诊断及综合治疗。方法回顾性分析总结35例因眼部带状疱疹住院患者临床资料。结果 35例患者经过治疗7~12 d治疗,34例病情基本痊愈,1例因病发脑炎转神经内科治疗后痊愈。7例患者遗留眼睑前额部皮肤瘢痕,占20%,18例患者遗留神经痛,占51.4%(持续3~6个月),12例患者局部眼睑及结膜发痒及皮肤知觉减退,占34.3%,角膜炎角膜溃疡痊愈遗留角膜云翳5例,占14.3%,虹膜炎症反应静止。青光眼及一过性高眼压得到控制眼压恢复正常,2例遗留视神经萎缩。结论眼部带状疱疹发疱以前疼痒为主,眼部并发症多,有疼痛、瘢痕、骚痒及视功能损害等后遗症,该病容易误诊,应尽早确诊,综合治疗,防止并发症及后遗症。
Objective To investigate the clinical features, differential diagnosis and comprehensive treatment of eye zoster. Methods Retrospective analysis of 35 cases of hospitalized patients with eye herpes zoster clinical data. Results 35 patients were treated for 7-12 days, 34 cases were basically cured, and 1 case recovered due to encephalitis and neurosurgical treatment. Seven patients had eyelid forehead skin scarring, accounting for 20%. Eighteen patients had neuropathic pain (51.4% for 3-6 months). Partial eyelid and conjunctival itching and skin sensation decreased in 12 patients (34.3% , Keratitis corneal ulcer recovered corneal nebula in 5 cases, accounting for 14.3%, iris inflammatory reaction was still. Glaucoma and transient ocular hypertension were controlled intraocular pressure returned to normal, 2 cases of left optic atrophy. Conclusion Eye blisters blisters former itchy, ophthalmic complications, pain, scarring, itching and visual function impairment and other sequelae, the disease is easily misdiagnosed, as soon as possible diagnosis, comprehensive treatment, to prevent complications and Sequelae.