一名36岁的患者在玻璃体腔中存在硅油12年后,右眼出现广泛的“白色疤痕”而没有疼痛。裂隙灯显微镜检查显示广泛的角膜白斑和轻度的角膜缘新生血管形成。前段光学相干断层扫描显示上皮下明显偏心增厚,基质厚度正常。我们首先进行硅油去除和眼内和前房灌洗,3个月后行上皮病变切除联合羊膜移植。患者对透明的角膜外观感到满意。
A 36-year-old patient presented with a complaint of an extensive \"white scar\" in his right eye without pain after silicone oil presence in the vitreous cavity for 12 years. Slit-lamp microscopy revealed extensive corneal leukoplakia and mild limbus neovascularization. Anterior segment optical coherence tomography revealed marked eccentric thickening of the subepithelium and normal thickness of the stroma. We proceeded with silicone oil removal and intraocular and anterior chamber lavage at first, followed by epithelial lesion excision combined with amniotic membrane transplantation 3 months later. The patient was satisfied with the clear cornea appearance.