Touzeau O, Borderie V, Razavi S, Warnet J M, Laroche L
Service d'Ophtalmologie, Hôpital Saint-Antoire, Paris.
J Fr Ophtalmol. 1999 Jun-Jul;22(6):662-5.
Infectious crystalline keratopathy is an exceptional but serious complication of penetrating keratoplasty. Streptococcus viridans and a steroid treatment are very often found. The treatment is always lengthy and difficult. The high number of bacteria and the steroid treatment, necessary to prevent rejection, worsen the infection. We report a case of Streptococcus crystalline keratopathy that evolved, despite the treatment, simultaneously toward abscess and acute rejection. Topical cyclosporin treatment was used to maintain an immunosuppression without worsening the infection.
感染性结晶性角膜病变是穿透性角膜移植术一种罕见但严重的并发症。常发现有草绿色链球菌感染及使用类固醇治疗。治疗总是漫长且困难的。大量细菌以及预防排斥反应所需的类固醇治疗会使感染恶化。我们报告一例草绿色链球菌结晶性角膜病变病例，尽管进行了治疗，但仍同时发展为脓肿和急性排斥反应。局部使用环孢素治疗以维持免疫抑制状态而不加重感染。
