Tabbara Khalid F
Eye Center and The Eye Foundation for Research in Ophthalmology, Riyadh 11534, Saudi Arabia.
Am J Ophthalmol. 2007 Jan;143(1):180-1. doi: 10.1016/j.ajo.2006.08.026. Epub 2006 Sep 28.
Punctal plugs are used in patients with dry eye syndrome to preserve the tears. In this report, I present two cases of Aspergillus fumigatus colonization of punctal plugs.
Observational series of two cases.
Approval was obtained from the institutional review board. Two men aged 29 and 31 years developed black spots inside the hole of punctal plug, which looked like eyeliner deposits. The deposits inside the hole of the plug in each patient were removed and cultured.
Cultures of the two punctal plugs black deposits grew A fumigatus. Bacterial cultures were negative.
Colonization of the punctal plug hole with A fumigatus was observed in two cases. It is recommended that punctal plugs be removed in patients undergoing refractive or intraocular procedures or in patients who are receiving topical corticosteroids. Current punctal plugs should be redesigned to avoid the presence of an inserter hole.
泪点塞用于干眼症患者以保存泪液。在本报告中，我呈现了两例泪点塞被烟曲霉定植的病例。
两例病例的观察系列。
获得了机构审查委员会的批准。两名年龄分别为29岁和31岁的男性泪点塞孔内出现黑点，看起来像眼线沉积物。将每名患者泪点塞孔内的沉积物取出并进行培养。
两个泪点塞黑色沉积物的培养物生长出烟曲霉。细菌培养结果为阴性。
观察到两例泪点塞孔被烟曲霉定植。建议在接受屈光或眼内手术的患者或正在接受局部皮质类固醇治疗的患者中取出泪点塞。当前的泪点塞应重新设计以避免存在插入孔。
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