Lin S H, Lin C P, Wang H Z, Tsai R K, Ho C K
Department of Occupational Medicine of Kaohsiung Medical College Hospital, Taiwan, Republic of China.
Occup Environ Med. 1999 Jun;56(6):423-5. doi: 10.1136/oem.56.6.423.
Fungal corneal ulcers related to agriculture has been reported throughout the world, especially in tropical areas. Most of them were sporadic and had histories of ocular trauma or use of topical corticosteroids and topical antibiotics. Five onion harvesters had fungal corneal ulcers during the same harvest period in Southern Taiwan. The authors think that this is the first report of a group occurrence relating to agricultural workers. Although all of the patients improved after medical and surgical management, their vision was greatly decreased. It is suggested that the tropical climate, the harvest procedure, the characteristic monsoon, and lack of eye protection were involved. Therefore, the importance of the eye protection, hygiene education, and improving medical care to reduce the occurrence of fungal corneal ulcer in agriculture workers must be emphasised.
与农业相关的真菌性角膜溃疡在世界各地均有报道，尤其是在热带地区。其中大多数为散发病例，且有眼外伤史或使用局部皮质类固醇及局部抗生素的历史。在台湾南部的同一收获季节，有5名洋葱收割工人患上了真菌性角膜溃疡。作者认为这是首例与农业工人群体发病相关的报告。尽管所有患者经药物和手术治疗后病情有所改善，但他们的视力仍大幅下降。据推测，这与热带气候、收割过程、特有的季风以及缺乏眼部防护有关。因此，必须强调眼部防护、卫生教育以及改善医疗护理对于减少农业工人真菌性角膜溃疡发生的重要性。
