Keratitis interstitial

ʻO ka keratitis interstitial ka mumū o kaʻiʻo o ke kole, ka puka aniani o mua o ka maka. Hiki i ke ʻano ke alakaʻi i ka nalo ʻana o ka hihi.

ʻO ke keratitis interstitial kahi ʻano koʻikoʻi kahi e ulu ai nā kīʻaha koko i loko o ke kō. Hiki i kēlā ulu ʻana ke kumu o ka nalo ʻana o ka mōakāka maʻamau o ke kōkō. Hoʻokumu pinepine ʻia kēia ʻano e nā maʻi.

ʻO Syphilis ke kumu maʻamau o ke keratitis interstitial, akā ʻo nā kumu ʻuʻuku nā:

• Nā maʻi Autoimmune, e like me ka rheumatoid arthritis a me ka sarcoidosis
• Lepera
• Maʻi Lyme
• Maʻi puʻu

Ma ʻAmelika Hui Pū ʻIa, ʻike ʻia a mālama ʻia ka hapanui o nā hihia syphilis ma mua o ka ulu ʻana o kēia ʻano maka.

Eia nō naʻe, helu nā keratitis interstitial no 10% o ka makapō i hiki ʻole ke pale ʻia i nā ʻāina ulu liʻiliʻi o ka honua.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEhaʻeha maka
• Haehae nui loa
• ʻIke i ka mālamalama (photophobia)

Hiki ke ʻike maʻalahi ʻia ke keratitis interstitial e ka nānā ʻana i nā kukui slit-lamp o nā maka. ʻO nā ho'āʻo koko a me nā kukuna x e pono pinepine ai e hōʻoia i ka maʻi a i ʻole ka maʻi e hoʻomaka ana i kēia ʻano.

Pono e mālama ʻia ka maʻi kumu. ʻO ka mālama ʻana i ka ʻalalā me nā kulu corticosteroid e hoʻoliʻiliʻi paha i ka scarring a kōkua i ka hoʻomaʻemaʻe ʻana i ka ʻili.

I ka hala ʻana o ka laha hana, waiho ʻia ka ʻili kuni ʻili loa a me nā kīʻaha koko ʻokoʻa. ʻO ke ala wale nō e hoʻihoʻi i ka hihiʻo i kēia manawa me kahi transplante kole.

ʻIke a mālama ʻana i nā keratitis interstitial a me ke kumu o ka wanaʻao hiki ke mālama i ka maikaʻi o ke kornea a me ka ʻike maikaʻi.

ʻAʻole kūleʻa kahi transplant corneal no ka keratitis interstitial e like me ka nui o nā maʻi ʻino ʻē aʻe. ʻO ke kū ʻana o nā kīʻaha koko i ka maʻi maʻi maʻi e lawe mai i nā hunaola keʻokeʻo i ka ʻāpana hou i hoʻoili hou ʻia a hoʻonui i ka makaʻu o ka hōʻole ʻia.

ʻO nā kānaka me nā keratitis interstitial pono e ukali pono ʻia e ka ophthalmologist a me ka loea lapaʻau me ka ʻike o ka maʻi kumu.

E nānā koke ʻia kahi kanaka me ke ʻano inā:

• E māhuahua ka ʻeha
• Hoʻonui ka ʻula
• Hoʻoemi ka hihiʻo

He mea koʻikoʻi loa kēia no ka poʻe me nā mea kanu kō.

ʻO ka pale ʻana ka pale ʻana i nā maʻi i hiki i ke keratitis interstitial. Inā loaʻa ʻoe i maʻi, e loaʻa i ka lāʻau lapaʻau wikiwiki a me ka mālama ʻana.

Keratitis interstitial; Cornea - keratitis

• Maka

ʻO Dobson SR, ʻo Sanchez PJ. Syphilis. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 144.

ʻO Gauthier A-S, Noureddine S, Delbosc B. ʻIliʻi keratitis āpau a me ka lāʻau. J Fr Ophtalmol. 2019; 42 (6): e229-e237. PMID: 31103357 pubmed.ncbi.nlm.nih.gov/31103357/.

Salemona JF. Kornea. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 7.

ʻO Vasaiwala RA, ʻo Bouchard CS. Keratitis noninfectious. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.17.

Pūnaewele World Health Organization. Ka hōʻino makapō a me ka ʻike maka. www.who.int/health-topics/blindness-and-vision-loss#tab=tab_1. Loaʻa iā Kepakemapa 23, 2020.