圆锥角膜塑形术并发症之棘阿米巴角膜炎
Acanthamoeba keratitis as a complication of orthokeratology.
作者信息
Xuguang Sun, Lin Chen, Yan Zhang, Zhiqun Wang, Ran Li, Shiyun Luo, Xiuying Jin
机构信息
Department of Eye Microbiology, Beijing Institute of Ophthalmology, TongRen Hospital, Beijing, China.
出版信息
Am J Ophthalmol. 2003 Dec;136(6):1159-61. doi: 10.1016/s0002-9394(03)00635-4.
PURPOSE
To present four cases of Acanthamoeba keratitis as a complication of orthokeratology.
DESIGN
Observational case report.
METHODS
Four patients with Acanthamoeba keratitis had histories of overnight orthokeratology lens wear of 6 months to 2 years.
RESULTS
Three cases were diagnosed with Acanthamoeba keratitis by corneal scraping and one by confocal microscopy examination. The patients were treated with chlorhexidine, metronidazole, and neomycin sulfate, resulting in a rapid resolution of ocular inflammation.
CONCLUSION
Overnight wear of orthokeratology lenses may induce Acanthamoeba keratitis.
目的
报告4例因角膜塑形术引发棘阿米巴角膜炎的病例。
设计
观察性病例报告。
方法
4例棘阿米巴角膜炎患者有夜间佩戴角膜塑形镜6个月至2年的病史。
结果
3例通过角膜刮片诊断为棘阿米巴角膜炎，1例通过共聚焦显微镜检查确诊。患者接受了氯己定、甲硝唑和硫酸新霉素治疗，眼部炎症迅速消退。
结论
夜间佩戴角膜塑形镜可能诱发棘阿米巴角膜炎。
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