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角膜炎及角膜溃疡为眼科常见病,是我国主要致盲原因之一。据报道,眼内维生素C(VC)含量高达20mg%,为血液中含量的10倍,角膜表层的VC在创伤后大量减少,为此我在门诊对7例角膜炎症病人进行V.C球结膜下注射加抗菌素点眼治疗,取得较满意的疗效,总结如下:治疗方法:结膜囊内1%地卡因表面麻醉后。于球结膜下注射V.C液0.5~0.6ml(125-150mg)继用氯霉素眼药水点眼加涂红霉素眼膏包眼。每天换药观察,隔天注射一次。临床病例:表层角膜炎3例,4~6天痊愈,浅层角膜溃疡3例,5~7天痊愈,葡行性角膜溃疡1例,10天痊愈,7例患者中年龄最大者53岁,最小者17岁。男4例,女3例,发病就诊时间1~4天。
Keratitis and corneal ulcers are common eye diseases, is one of the main causes of blindness in our country. It is reported that intravitreal vitamin C (VC) content of up to 20mg%, 10 times the blood content of the corneal surface of a large number of VC after trauma, so I am in the clinic for 7 cases of corneal inflammation in patients with VC subconjunctival injection Plus antibiotic eye treatment, to obtain more satisfactory results, summarized as follows: Treatment: 1% conjunctival cocaine surface anesthesia. Subconjunctival injection of V.C liquid 0.5 ~ 0.6ml (125-150mg) followed by chloramphenicol eye drops with erythromycin eye ointment eye wrap. Daily dressing change observation, injection the next day. Clinical cases: 3 cases of surface keratitis, 4 to 6 days recovery, 3 cases of superficial corneal ulcer, 5 to 7 days recovery, 1 case of rupture of corneal rupture, 10 days recovery, 7 patients, the oldest 53 years old, The youngest is 17 years old. 4 males and 3 females, the onset of treatment time of 1 to 4 days.