Abstract：
BACKGROUND: Ligneous conjunctivitis is a rare form of chronic pseudomembranous conjunctivitis which usually starts during infancy. We report on an unsual case of recurrent ligneous conjunctivitis after cataract surgery in a 67-year-old male patient.
METHODS: The equipment used for the slit-lamp images was a Haag Streit slit lamp BX900 Sn 00,406 with 16 × magnifications. The used batch number of the camera was sn00406 and the software was from the company CCS Pawlowski Merge Eye. There were no filters used. The images were saved with a resolution of 300 DPI. Neither downstream nor averaging was used to enhance the resolution of the image in the case presentation section or the figure legend. The equipment used for the cross-sectional histologic images was a Zeiss Axioskop 40 microscope with an objective lens Zeiss A-Plan × 20/0.45 (Zoom 6.3 × TV 2/3″″C). The used camera was AxioCam MRc5 and the software was ZEN 3.2. The cross-sectional histologic images were saved with a resolution of 2584 × 1936 Pixels. Neither downstream nor averaging was used to enhance the resolution of the image in the case presentation section or the figure legend.
METHODS: This is a rare case report of ligneous conjunctivitis in a 67-year-old male patient who presented a recurrent conjunctival granuloma after five excisions following cataract surgery in his left eye. We performed a tumor excision with free conjunctival autograft. The histology showed a fibrin crust including macrophages, granulocytes, lymphocytes, and reactively altered squamous cell nests. These findings were consistent with a ″pseudomembrane in conjunctivitis lignosa″. We administered a topical combination of plasminactivator, heparin, cortisone and cyclosporine.
CONCLUSIONS: This treatment with the combination of plasminactivator, heparin, cortisone and cyclosporine has proven to be effective in preventing the recurrence of ligneous conjunctivitis.
METHODS: The equipment used for the slit-lamp images was a Haag Streit slit lamp BX900 Sn 00,406 with 16 × magnifications. The used batch number of the camera was sn00406 and the software was from the company CCS Pawlowski Merge Eye. There were no filters used. The images were saved with a resolution of 300 DPI. Neither downstream nor averaging was used to enhance the resolution of the image in the case presentation section or the figure legend. The equipment used for the cross-sectional histologic images was a Zeiss Axioskop 40 microscope with an objective lens Zeiss A-Plan × 20/0.45 (Zoom 6.3 × TV 2/3″″C). The used camera was AxioCam MRc5 and the software was ZEN 3.2. The cross-sectional histologic images were saved with a resolution of 2584 × 1936 Pixels. Neither downstream nor averaging was used to enhance the resolution of the image in the case presentation section or the figure legend.
METHODS: This is a rare case report of ligneous conjunctivitis in a 67-year-old male patient who presented a recurrent conjunctival granuloma after five excisions following cataract surgery in his left eye. We performed a tumor excision with free conjunctival autograft. The histology showed a fibrin crust including macrophages, granulocytes, lymphocytes, and reactively altered squamous cell nests. These findings were consistent with a ″pseudomembrane in conjunctivitis lignosa″. We administered a topical combination of plasminactivator, heparin, cortisone and cyclosporine.
CONCLUSIONS: This treatment with the combination of plasminactivator, heparin, cortisone and cyclosporine has proven to be effective in preventing the recurrence of ligneous conjunctivitis.
摘要：
背景：网状结膜炎是一种罕见的慢性假膜性结膜炎，通常在婴儿期开始。我们报道了一名67岁男性患者白内障手术后复发性结膜炎的一例。
方法:用于裂隙灯图像的设备是具有16倍放大倍数的HaagStreit裂隙灯BX900Sn00,406。相机的使用批号为sn00406,软件来自CCSPawlowskiMergeEye公司。没有使用过滤器。以300DPI的分辨率保存图像。在案例演示部分或图例中，均未使用下游或平均来增强图像的分辨率。用于横截面组织学图像的设备是带有物镜ZeissA-Plan×20/0.45（Zoom6.3×TV2/3“C）的ZeissAxioskop40显微镜。使用的相机是AxioCamMRc5,软件是ZEN3.2。横截面组织学图像以2584×1936像素的分辨率保存。在案例演示部分或图例中，均未使用下游或平均来增强图像的分辨率。
方法：这是一例罕见的结膜肉芽肿病例报告，该病例是一名67岁男性患者，在他的左眼白内障手术后五次切除后，出现复发性结膜肉芽肿。我们进行了自由结膜自体移植的肿瘤切除术。组织学显示纤维蛋白外壳包括巨噬细胞，粒细胞,淋巴细胞，反应性地改变了鳞状细胞巢。这些发现与结膜炎中的“假膜”一致。我们给予纤溶酶原激活剂的局部组合，肝素,可的松和环孢素.
结论：这种治疗与纤溶酶原激活剂的组合，肝素,已证明可的松和环孢素可有效预防结膜炎的复发。
方法:用于裂隙灯图像的设备是具有16倍放大倍数的HaagStreit裂隙灯BX900Sn00,406。相机的使用批号为sn00406,软件来自CCSPawlowskiMergeEye公司。没有使用过滤器。以300DPI的分辨率保存图像。在案例演示部分或图例中，均未使用下游或平均来增强图像的分辨率。用于横截面组织学图像的设备是带有物镜ZeissA-Plan×20/0.45（Zoom6.3×TV2/3“C）的ZeissAxioskop40显微镜。使用的相机是AxioCamMRc5,软件是ZEN3.2。横截面组织学图像以2584×1936像素的分辨率保存。在案例演示部分或图例中，均未使用下游或平均来增强图像的分辨率。
方法：这是一例罕见的结膜肉芽肿病例报告，该病例是一名67岁男性患者，在他的左眼白内障手术后五次切除后，出现复发性结膜肉芽肿。我们进行了自由结膜自体移植的肿瘤切除术。组织学显示纤维蛋白外壳包括巨噬细胞，粒细胞,淋巴细胞，反应性地改变了鳞状细胞巢。这些发现与结膜炎中的“假膜”一致。我们给予纤溶酶原激活剂的局部组合，肝素,可的松和环孢素.
结论：这种治疗与纤溶酶原激活剂的组合，肝素,已证明可的松和环孢素可有效预防结膜炎的复发。
