中华胸心血管外科杂志
2022年 · 第58卷第02期
中华胸心血管外科杂志
This issue focuses on the research progress in the diagnosis and treatment of ocular surface diseases. The responsible editorial board member in charge of the planning, composition and review of this issue is Professor Xu Jianjiang, who published an expert review "Focusing on the Differential Diagnosis of Superficial Punctate Keratopathy" in this issue. Superficial punctate keratopathy is a common abnormality of corneal epithelium and superficial stromal layer in clinic. There are many primary diseases that cause superficial punctate keratopathy in clinic and their pathogenic mechanisms are different, resulting in very different treatment options. Therefore, this article points out that the differential diagnosis of primary diseases is particularly important, which is the key link in the diagnosis and treatment of superficial punctate keratopathy. However, the symptoms and signs of superficial punctate keratopathy lack specificity, so it is necessary to raise awareness, adopt correct diagnostic ideas, inquire about medical history and conduct various related examinations, comprehensive analysis, strip the cocoon, see the essence through the phenomenon, trace the root source, and find out the primary disease, so as to give targeted treatment, promote the repair of corneal epithelium as soon as possible and improve the prognosis.
Surgeon Profile Deputy Director, Chief Physician (well-known expert), Doctoral Supervisor, Department of Ophthalmology, PLA General Hospital. He specializes in the diagnosis and treatment of corneal diseases and refractive surgery, cataract, ocular trauma and difficult eye diseases. He served as a member of the Keratology Group of the Ophthalmology Branch of Chinese Medical Association, the deputy chairman of the Youth Committee of the Ophthalmologist Branch of Chinese Medical Doctors Association, and the deputy chairman of the Youth Committee of the Ophthalmology Branch of Beijing Medical Association. Won 1 first prize and 2 second prizes for military science and technology progress, and 1 third prize for Huaxia Medical Science and Technology. Editor-in-chief and co-editor of many monographs in Chinese and English.
The patient was a male, 30 years old. Because of pruritus and foreign body sensation in his left eye for more than 1 month, he went to the Department of Ophthalmology, Beijing You' an Hospital affiliated to Capital Medical University. Previous history of acquired immunodeficiency syndrome, receiving highly active antiretroviral therapy. Physical examination of the whole body: itching of the pubic body and the body of the worm can be seen in the underwear. Please consult with a dermatologist. The body of the worm is shameful of pubic lice. Eye examination: brown translucent granular oval substance attached to the eyelashes of the upper eyelid of the left eye, congestion of the eyelid margin, and obstruction of the glandular mouth of the meibar plate; No obvious abnormalities were observed in the remaining ocular structures. Examination of the pulled eyelashes under the microscope showed a large number of Demodex follicularis and Demodex sebum, and the unhatched eggs were brownish-black granular (Quintessence Picture 1). Clinical diagnosis: acquired immunodeficiency syndrome; pubic lice; Left eyelash pediculosis; Mitar blepharitis of the left eye.
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