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患者女,35岁。于1990年10月和1991年1月分别施行右眼和左眼6条切口的放射状角膜切开术。右眼术后情况良好,左眼滴用抗生素和皮质类固醇,2周后出现充血和刺激症状,检查发现5点钟方位切口中央有浸润。局部用头孢唑林、妥布霉素和地塞米松治疗,症状无改善。培养阴性。3月6日诊断为结晶样角膜病变,用50mg/ml 万古霉素液冲洗5点钟位切口处创口,万古霉素50mg 和庆大霉素40mg 结膜下注射,局部给于头孢唑林、妥布霉素、Neosporin 和0.25%氟米龙。再次培养仍阴性。3月18日左眼视力20/30,中度球结膜充血和睫状体部潮红,5点钟位切口处达角膜基质中、深层有白色羽状浸润,角膜上皮缺损,角膜内皮后有细小 KP,眼压16mmHg,
Female patient, 35 years old. In October 1990 and January 1991, respectively, the right eye and left eye incision 6 incision radial keratotomy. Right eye after surgery in good condition, left eye drops with antibiotics and corticosteroids, hyperemia and irritation after 2 weeks of symptoms found that the central 5 o’clock incision infiltration. Topical cefazolin, tobramycin and dexamethasone treatment, no improvement in symptoms. Culture negative. March 6 diagnosed as crystal-like corneal lesions, with 50mg / ml vancomycin flushing incision wounds at 5 o’clock, vancomycin 50mg and gentamicin 40mg subconjunctival injection, given to cefazolin locally, Doxorubicin, Neosporin and 0.25% fluorometholone. Cultivation is still negative. March 18 left visual acuity 20/30, moderate conjunctival hyperemia and ciliary body flushing, 5 o’clock incision up to the corneal stroma, deep white plume infiltration, corneal epithelial defects, small corneal endothelium KP, intraocular pressure 16mmHg,