羊膜移植术后真菌性角膜炎
Fungal keratitis following amniotic membrane transplantation.
作者信息
Das Sujata, Ramamurthy Balasubramanya, Sangwan Virender S
机构信息
L V Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.
出版信息
Int Ophthalmol. 2009 Feb;29(1):49-51. doi: 10.1007/s10792-007-9164-4. Epub 2007 Nov 6.
PURPOSE
To report a case of fungal keratitis following amniotic membrane (AM) transplantation for pseudophakic bullous keratopathy.
METHOD
A 55-year-old female underwent amniotic membrane transplantation (AMT) with epithelial debridement and anterior stromal puncture in the left eye for symptomatic bullous keratopathy. She developed fungal keratitis after 4 weeks.
RESULT
Aspergillus sp. was isolated from the corneal scraping. The patient was treated with systemic and topical antifungal medication.
CONCLUSION
Although AMT is safe, there is a risk of microbial infection after the procedure especially in poor ocular surfaces.
目的
报告一例人工晶状体植入术后大泡性角膜病变行羊膜移植术后发生真菌性角膜炎的病例。
方法
一名55岁女性因有症状的大泡性角膜病变在左眼行羊膜移植术，同时行上皮清创和前基质穿刺。术后4周发生真菌性角膜炎。
结果
角膜刮片分离出曲霉菌。患者接受全身及局部抗真菌药物治疗。
结论
虽然羊膜移植术是安全的，但术后存在微生物感染的风险，尤其是在眼部表面状况较差的情况下。
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