最後更新：2026年10月1日
結膜與結膜之間或結膜與角膜之間的異常纖維性黏連。貓最常見原因為幼貓期嚴重 FHV-1 感染導致結膜壞死後瘢痕黏連。可限制眼球運動、阻塞淚道或遮蔽角膜。
貓常見。幼貓期 FHV-1 嚴重感染為最常見原因。
犬罕見，偶見於嚴重化學灼傷或手術後。
建議：依臨床狀況調整
監測頻率：青光眼 q4-6h（急性）；每次回診
[1]Celastrol Activates SIRT1/PGC-1α/Nrf2 Axis to Inhibit Oxidative Damage for Subconjunctival Fibrosis Alleviation.
[2]Symblepharon in kittens: a retrospective study of 40 kittens and 54 eyes (2002-2022).
[3]A rabbit model for assessing symblepharon after alkali burn of the superior conjunctival sac.
[4]Clinical features of cats with aqueous tear deficiency: a retrospective case series of 10 patients (17 eyes).
[5]Gelatin methacryloyl hydrogel eye pad loaded with amniotic extract prevents symblepharon in rabbit eyes.
建議數日內就診評估，非立即危及生命但不宜拖延 (evaluation within days recommended, not immediately life-threatening)
輕度黏連不影響視力者預後良好。手術分離後再黏連率高。廣泛黏連合併角膜覆蓋者預後謹慎。預防優於治療 — 幼貓 FHV-1 感染需積極早期治療。
Diagnostic Approach for Symblepharon
Menace response, PLR, Schirmer tear test, fluorescein staining, tonometry
Detailed anterior segment examination including conjunctiva, cornea, iris, lens
Direct and indirect ophthalmoscopy; ocular ultrasound if media opacity prevents visualization