淋菌性角膜炎后角膜膨出患者的深前板层角膜移植术。
Deep anterior lamellar keratoplasty in a patient with descemetocele following gonococcal keratitis.
作者信息
Tong Louis, Tan Donald T H, Abańo Jessica M, Lim Li
机构信息
Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751.
出版信息
Am J Ophthalmol. 2004 Sep;138(3):506-7. doi: 10.1016/j.ajo.2004.04.014.
PURPOSE
To describe the presentation and subsequent management of a case of severe gonococcal keratitis in a young man.
DESIGN
Case report.
METHODS
A young man presented with severe gonococcal keratitis. Topical and systemic antibiotics were given with no improvement, and progressive corneal melting was noted. Deep lamellar keratoplasty was performed. The clarity and state of corneal graft and the postoperative visual acuity were noted.
RESULTS
At 6 months posttreatment, the graft was clear, and no recurrence of infection was noticed. Corrected visual acuity was 20/25.
CONCLUSION
Deep lamellar keratoplasty should be considered as a therapeutic option in patients with severe gonococcal keratitis that does not respond to antibiotic treatment.
目的
描述一名年轻男性严重淋菌性角膜炎的临床表现及后续治疗情况。
设计
病例报告。
方法
一名年轻男性出现严重淋菌性角膜炎。给予局部和全身抗生素治疗后无改善，且观察到角膜进行性溶解。遂行深板层角膜移植术。记录角膜移植片的清晰度和状态以及术后视力。
结果
治疗后6个月，移植片清晰，未发现感染复发。矫正视力为20/25。
结论
对于对抗生素治疗无反应的严重淋菌性角膜炎患者，应考虑将深板层角膜移植术作为一种治疗选择。
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