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本文报告11例Lyme病性角膜炎,占全部眼Lyme病的6.15%,是同期角膜炎病人的31.44%。Lyme病角膜炎的特点是以浅层角膜炎为主,角膜上皮水肿,混浊,浅基质层浸润,很少长角膜新生血管。少数为角膜基质炎,与梅毒性角膜基质炎之不同点,在于后者早期基质层长大量新生血管。治疗除眼部用抗生素和部分加小量激素外,全身用大剂量抗生素,抗Lyme病治疗,治愈后角膜很少遗留瘢痕,预后较好。
This article reports 11 cases of Lyme’s disease keratitis, accounting for 6.15% of all eye Lyme disease, is the same period of patients with keratitis 31.44%. Lyme disease is characterized by keratitis mainly keratitis, corneal epithelial edema, turbidity, shallow basal layer infiltration, rarely long corneal neovascularization. A small number of corneal stromal inflammation, and syphilis corneal stromal inflammation is that the latter a large number of early vascular growth of new blood vessels. In addition to the treatment of ophthalmic antibiotics and some plus a small amount of hormones, the body with a large dose of antibiotics, anti-Lyme disease treatment, the corneal scar left over after surgery, the prognosis is good.