软性角膜接触镜引起绿脓杆菌性角膜溃疡一例

• 作 者: 张书文 张焱
• 机 构: 吉林省长岭县医院眼科,吉林省长岭县医院眼科
• 出 处: 眼外伤职业眼病杂志(附眼科手术)
• 发表日期: 1994年01期
• 关键词: 软性角膜接触镜 利福平眼药水 左眼视力 球结膜水肿 结膜下注射 眼结膜囊 粘性分泌物 坏死组织 中央部 多粘菌素

患者王××,男,19岁,学生.因双眼近视,于1991年1月在长春市配戴长戴型软性角膜接触镜.视力得到矫正.但常有眼部畏光、发涩及不适之感.自用利福平眼药水滴眼治疗无效,近2天左眼疼痛较剧,分泌物增多,视力高度障碍,于1991年5月27日急诊入院.检查:视力:右眼0.2,-3.0DS=1.0.角膜透明,眼底正常.左眼视力光感,眼睑红肿充血、球结膜水肿、充血(+++),角膜呈灰白色混浊,中央有3×4mm深层溃疡.边界不清,表面有灰

Patient Wang × ×, male, 19 years old, student .Because of myopic eyes, in January 1991 in Changchun City wear long wear type soft contact lenses .Amblyopia corrected, but often eye photophobia, hair astringent and Feeling of discomfort. Rifampicin eye drops for personal use invalid, almost 2 days left eye pain more drama, increased secretions, vision disorders, admitted to the emergency room on May 27, 1991. Examination: visual acuity: right eye 0.2, -3.0DS = 1.0 Corneal transparency, fundus normal Left visual acuity, erythematous edema, conjunctival edema, hyperemia (+++), the cornea was white turbid, the central 3 × 4mm deep ulcers. The border is unclear, The surface is gray