穿透性角膜移植术后与隐形眼镜佩戴相关的真菌性角膜炎。

Fungal keratitis associated with contact lens wear after penetrating keratoplasty.

作者信息

Kremer I, Goldenfeld M, Shmueli D

机构信息

Department of Ophthalmology, Beilinson Medical Center, Petah Tiqva, Israel.

出版信息

Ann Ophthalmol. 1991 Sep;23(9):342-5.

PMID:1741607

Abstract

A 71-year-old patient had a stromal infiltration at the donor-recipient interface two years after penetrating keratoplasty while wearing a "piggyback-type" contact lens. The corneal graft sutures in the affected area had been removed one year previously. Corneal scraping revealed the presence of Candida parapsillosis, and the infection was treated successfully with a combination of amphotericin B and flucytosine. The association between contact-lens wear and fungal infections of corneal grafts is discussed.

摘要

一名71岁的患者在穿透性角膜移植术后两年，佩戴“背驮式”隐形眼镜时，在供体-受体界面出现基质浸润。受影响区域的角膜移植缝线已于一年前拆除。角膜刮片显示存在近平滑念珠菌，通过两性霉素B和氟胞嘧啶联合治疗成功控制了感染。本文讨论了佩戴隐形眼镜与角膜移植真菌感染之间的关联。