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題名:嬰幼兒眼臉贅皮併睫毛內翻者長期追蹤報告     (14點)
Epiblepharon with Inverted Eye Lashes in Children Long Term Follow-Up Report
著者:莊惠美(Hui-Mei Chuang) ;謝靜茹(Ching-Ju Hsieh) ;劉秀雯(Shiow-Wen Liou)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Epiblepharon ; Inverted eyelashes ; Congenital entropin
刊名:中華民國眼科醫學會雜誌
卷期:44卷1期(2005.3)
頁碼:6-12
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:本研究的目的在於觀察嬰幼兒隨著年齡的增長、顏面發 育,眼臉贅皮及隨毛內翻變化的情形,以及隨毛對角膜傷害的程度, 進而了解藥物及手術治療的適當時機及療效O 方法:研究對象為本院兒童健康梭查門診及眼科門診,診斷有眼 臉贅皮及隨毛內翻的兒童,有意願參加定期的追蹤治療者,研究對象 分為下列兩組:第一組為小於或等於六歲的兒童,第二組為大於六歲 的兒童。我們對各案的家長或主要照顧者施予問卷調查,以裂隙燈顯 微照相,紀錄自良臉贅皮及曖毛生長方向的變化O作角膜螢光染色檢 查,並以裂隙燈顯微照相紀錄角膜傷害的程度,並且評估藥物及手術 治療適當的時機及治療效果O 結果:我們的研究結果發現: 1.眼臉贅皮併曖毛內翻者在問卷中其父母之一也有這種現象約佔 30% 0 2. 無論任何年齡小朋友, 一旦發現眼臉贅皮並曖毛內翻, 只要隨毛 接觸角膜表面並摩擦角膜,將導致角膜受損及康爛O 3. 眼臉贅皮併曖毛內翻同一方向者, 將會隨著年紀增長而改善O 4. 眼臉贅皮併曖毛內翻不同方向者, 隨著年紀增長並不會改善, 反 而角膜症狀將會日益嚴重O 5. 一旦有角膜損傷, 需給予藥物治療; 若症狀未日漸改善者, 或曖 毛內翻不同方向者,則需開刀矯正O 結論:本研究經由問卷、症狀及曖毛生長方向,可得知:父母之一有 眼臉贅皮併曖毛內翻者其小孩也容易有O無論任何年齡小朋友,一旦 曖毛接觸角膜表面,必會產生角膜康爛,需給予藥物治療;若角膜康 爛症狀未改善者,或曖毛內翻不同方向生長者,貝11需闖刀矯正O未必 需要一定等到小孩上小學後,才能接受手術治療,徒然讓小孩受幾年 曉毛內翻引起角膜受傷之苦O
Purpose: This study investigate the change of epiblepharon and inverted eyelashes with age and facial development, and the injury of cornea by eyelashes touching. Method: One hundred and seventy children with epiblepharon and inverted eyelashes were collected from the O.PD. and screening test at health center. The studied group was divided into two groups(1l7 cases at age 1-6. 53 cases at ages greater then 6) The studied cases were evaluated with slit lamp and fluorescein stain. The severity of corneal injury was recorded by camera. In addition, we evaluate the effect of drug therapy and the timing of surgical manipulation. Results:Our study revealed: 1. The children whose parents with epiblepharon and inverted eyelashes usually have the same condition. 2. Inverted lashes touching the cornea will induce corneal erosion. 3. If the rowing of inverted lashes with the same direction, the incidence of eyelashes touching the corneal surface will decrease with age. 4. If the rowing of inverted lashes with different direction, the incidence of eyelashes touching the corneal surface will not improved with age. 5. Medical treatment is usually necessary for corneal erosion. Surgical treatment is usually necessary for the rowing of inverted lashes with different direction. Conclusion: The children whose parents with epiblepharon and inverted eyelashes usually have the same condition. Once the eyelashes touches the surface of cornea, the erosion of cornea will occur. The erosion of cornea will need medical treatment. If the condition was not improved after medical treatment. The patients will be treated surgically.


    

本卷期目次
中華民國眼科醫學會雜誌 44卷1期 (2005.3)
HAEMOPHILUS INFLUENZAE-ASSOCIATED SCLERITIS AFTER PTERYGIUM EXCISION/ Po-Min YangPo-Chiung Fang
MANAGEMENT OF CHOROIDAL DETACHMENT AFTER AHMED VALVE IMPLANTATION-3 CASES REPORT/ Yi-Hao ChenJian-Nan WuDa-Wen Lu
如何提升視障者的中文閱讀速度/ 俞能方黃伯翰張寅
嬰幼兒眼瞼贅皮併睫毛內翻者長期追蹤報告/ 莊惠美謝靜茹劉秀雯
阿脫品藥水用於近視併弱視患者之臨床經驗/ 莊怡群陳立仁鄭惠川
PERIPHERAL ULCERATIVE KERATITS ASSOCIATED WITH ERYTHEMA ELEVATUM DIUTINUM--A CASE REPORT/ Hsin-Cheng LeeChung-Hong HuChing-Hsi HsiaoHan-Chih ChengYi-Ming Huang
化癌藥(Mitomycin-C)對高度近視患者首度施行雷射屈光角膜切除術的作用-病例報告/ 蔡裕棋鄭惠川
在LASIK手術中使用Moria M2角膜板層刀其角膜皮瓣厚度的重現性/ 黃松盈鄭惠川丘子宏
如何提升視障者的中文閱讀速度/ 俞能方黃伯翰張寅
在LASIK手術中使用Moria M2角膜板層刀其角膜皮瓣厚度的重現性/ 黃松盈鄭惠川丘子宏
阿脫品藥水用於近視併弱視患者之臨床經驗/ 莊怡群陳立仁鄭惠川
化癌藥(Mitomycin-C)對高度近視患者首度施行雷射屈光角膜切除術的作用-病例報告/ 蔡裕棋鄭惠川
Management of Choroidal Detachment After Ahmed Valve Implantation-3 Cases Report/ Yi-Hao ChenJian-Nan WuDa-Wen Lu
Haemophilus Influenzae-Associated Scleritis after Pterygium Excision/ Po-Min YangPo-Chiung Fang
Peripheral Ulcerative Keratits Associated with Erythema Elevatum Diutinum-A Case Report/ Hsin-Cheng LeeChung-Hong HuChing-Hsi HsiaoHan-Chih ChengYi-Ming Huang
嬰幼兒眼臉贅皮併睫毛內翻者長期追蹤報告/ 莊惠美謝靜茹劉秀雯
 
   
 
   

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