睑缘炎是眼科常见的疾病之一,轻者导致患者眼部刺激症状,严重者可由于累及睑板腺和角膜而影响视力乃至引起视功能的损害.近年越来越多的研究发现蠕形螨感染可能是睑缘炎的重要病因之一,其诊断和治疗成为目前睑缘炎的关注重点,临床医生应对此予以足够的重视.蠕形螨性睑缘炎临床上目前仍然面临许多未确定的问题与挑战.本文就该病诊断和治疗方面存在的争议问题,结合国内外研究结果与笔者的经验进行分析,并就如何提高临床诊断的正确率和改善该病的治疗效果展开讨论.重视对蠕形螨性睑缘炎的诊断与治疗将有助于提高睑缘炎以及睑板腺功能障碍(MGD)的诊断和治疗水平,最终改善该病的整体预后.%Blepharitis is one of the common eye diseases,it may cause ocular irritation symptoms,and even cause damage of visual function,if it involves the meibomian gland and cornea.Recent studies have shown that Demodex infestation may be an important but under-estimated cause of blepharitis,its diagnosis and treatment become the focus of blepharitis research,clinical doctors should pay adequate attention to this.Demodex blepharitis still faces many uncertain problems and challenges.In this paper,the controversial problems of Demodex blepharitis diagnosis and treatment,combined with domestic and foreign research results and the author's experience was analyzed,and we also discussed that how to improve the accuracy of clinical diagnosis and improve the treatment effect of Demodex blepharitis.Herein,we emphasize on the diagnosis and treatment options of Demodex blepharitis.Early detection of the pathogen and prompt treatment would ultimately improve the prognosis of Demodex blepharitis.
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