非结核分枝杆菌引起的感染性准分子激光原位角膜磨镶术后结晶状角膜病变
Infectious post-LASIK crystalline keratopathy caused by nontuberculous mycobacteria.
作者信息
Alvarenga Lênio, Freitas Denise, Hofling-Lima Ana Luísa, Belfort Rubens, Sampaio Jorge, Sousa Luciene, Yu Maria, Mannis Mark
机构信息
Department of Ophthalmology, Paulista School of Medicine, Federal University of São Paulo, Brazil.
出版信息
Cornea. 2002 May;21(4):426-9. doi: 10.1097/00003226-200205000-00020.
PURPOSE
To report three cases of infectious crystalline keratopathy caused by non-tuberculous mycobacteria after LASIK surgery.
METHODS
Interventional case reports and literature review.
RESULTS
Infectious keratitis with clinical features of crystalline keratopathy after LASIK is described. Culture revealed Mycobacterium chelonae from the corneal scrapings of the three patients, all of whom underwent medical and surgical (debridement) treatment.
CONCLUSIONS
Mycobacteria may cause infectious crystalline keratopathy after LASIK. The presence of crystalline keratopathy in patients that underwent LASIK must be considered an indicator of nontuberculous mycobacteria infection. Microbiologic work-up of a corneal specimen is required for the institution of appropriate therapy.
目的
报告3例准分子激光原位角膜磨镶术（LASIK）后由非结核分枝杆菌引起的感染性结晶状角膜病变。
方法
介入性病例报告及文献复习。
结果
描述了LASIK术后具有结晶状角膜病变临床特征的感染性角膜炎。培养显示3例患者角膜刮片中有龟分枝杆菌，所有患者均接受了药物及手术（清创）治疗。
结论
分枝杆菌可能在LASIK术后引起感染性结晶状角膜病变。接受LASIK手术患者出现结晶状角膜病变必须被视为非结核分枝杆菌感染的一个指标。为制定恰当的治疗方案，需要对角膜标本进行微生物学检查。
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