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6.3眼科治疗 联合全身药物和眼科早期干预可以减轻眼部病损程度。单纯全身应用药物对于眼部并发症的改善无效。即使全身症状控制，眼部病损改善不满意。眼部治疗目的是缓解眼部的症状及并发症，针对不同类型的病变，采用局部药物治疗或手术干预。如坏死性角巩膜炎局部可使用糖皮质激素，合并感染使用抗生素，干眼使用人工泪液等。如泪道阻塞可采用鼻腔泪囊吻合术，角膜穿孔采用结膜瓣覆盖，角膜移植术，合并视力丧失为解决眼球外观可采用眼内容剜除并义眼台植入。眼眶畸形可进行整形等。
WG是一种机制不明的致死性的全身疾病，早期诊断和治疗至关重要，近年出现了一些新的检验技术和治疗方法，大大提高了对本病的诊疗水平。对于以眼科首诊和仅有眼部表现的可疑病例，眼科医生要注意鉴别，及时行ANCA检查，反复取活检，请多科参与诊治。全身药物治疗的同时，眼部也要给予药物或/和手术干预，以减轻眼部病损。
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