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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Scraping Of Ulcer Base Hastens The Healing Of Grade 3 Shield Ulcer In Vernal Keratoconjunctivitis.
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Scraping Of Ulcer Base Hastens The Healing Of Grade 3 Shield Ulcer In Vernal Keratoconjunctivitis.

机译：刮除溃疡基底可加速春季角结膜炎的3级盾形溃疡愈合。

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A 10-year-old boy presented with complaints of pain and photophobia in the left eye. Slit lamp examination revealed cobble stone papillae in both tarsal conjunctivae, diffuse punctate epitheliopathy of cornea and a 3.5x1.5 mm epithelial defect in the left eye. He was diagnosed to be suffering from bilateral vernal keratoconjunctivitis, with evolving grade 3 shield ulcer in the left eye. Shield ulcer was refractory to the combined regime of topical corticosteroids, dual acting antihistamine and lubricating eye drops. After removal of plaque and scrapping of base, the ulcer re-epithelialized completely in two weeks, leaving behind an opacity which stained negatively with fluorescein dye. The patient was followed up for two months and no recurrence of ulcer was noted. Drug resistant shield ulcer with plaque re-epithelialized rapidly after removal of plaque and scrapping of base of ulcer.
机译：一个10岁的男孩左眼出现疼痛和畏光的症状。裂隙灯检查发现睑板结膜中均出现卵石结石乳头，角膜弥漫性点状上皮病变和左眼3.5x1.5 mm上皮缺损。他被诊断患有双侧春季角结膜炎，左眼正在发展为3级盾状溃疡。盾形溃疡对局部皮质类固醇，双重作用的抗组胺药和润滑的眼药水联合治疗无效。去除斑块并刮除碱后，溃疡在两周内完全重新上皮化，留下不透明性，并用荧光染料染色。对该患者进行了两个月的随访，未发现溃疡复发。去除斑块并刮除溃疡基部后，具有斑块的耐药性盾状溃疡迅速重新上皮化。

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