Weichel E D, Bower K S, Ward T P, Hidayat A
Department of Ophthalmology, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650, USA.
Cornea. 2002 Nov;21(8):825-7. doi: 10.1097/00003226-200211000-00019.
To report an epicorneal aspergilloma in a postkeratoplasty patient with a bandage soft contact lens.
Case report of a 77-year-old postkeratoplasty patient who presented with an epicorneal mass under a bandage soft contact lens placed for a nonhealing epithelial defect. On removal of the contact lens, a 4 x 4-mm placoid mass fell free from the corneal surface and was sent for culture and histopathology.
Gram stain demonstrated septated branching hyphae, and cultures confirmed the diagnosis of Histopathologic sections of the epicorneal mass revealed a full-thickness aspergilloma.
Contact lens removal and aggressive antimycotic treatment resulted in epithelial healing and resolution of the keratomycosis. The patient remained stable for 6 months followed by a successful repeat penetrating keratoplasty.
报告一例角膜移植术后使用绷带软性角膜接触镜的患者发生角膜表面曲霉菌瘤的病例。
病例报告，一名77岁角膜移植术后患者，因上皮缺损不愈合佩戴绷带软性角膜接触镜，发现角膜表面有肿物。取下接触镜后，一个4×4毫米的盘状肿物从角膜表面脱落，送去做培养和组织病理学检查。
革兰氏染色显示有分隔的分支菌丝，培养结果确诊。角膜表面肿物的组织病理学切片显示为全层曲霉菌瘤。
摘除接触镜并积极进行抗真菌治疗使上皮愈合，角膜真菌病消退。患者病情稳定6个月，随后成功进行了再次穿透性角膜移植术。
