一名慢性疲劳综合征患者发生的与隐形眼镜相关的棘阿米巴角膜炎。
Contact lens-related acanthamoeba keratitis in a patient with chronic fatigue syndrome.
作者信息
Jhanji Vishal, Beltz Jacqueline, Vajpayee Rasik B
机构信息
Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
出版信息
Eye Contact Lens. 2008 Nov;34(6):335-6. doi: 10.1097/ICL.0b013e318189f129.
PURPOSE
To report a case of contact lens-related Acanthamoeba keratitis associated with improper lens hygiene in a patient with chronic fatigue syndrome (CFS).
METHODS
Contact lens-related Acanthamoeba keratitis was diagnosed in a 58-year-old man with a history of CFS. After medical management failed to prevail, a penetrating keratoplasty was performed in the affected eye.
RESULTS
There was no recurrence of Acanthamoeba keratitis after surgery. Complete re-epithelialization of the graft was observed with a best-corrected visual acuity of 20/80 in the operated eye at the last follow-up (3 months).
CONCLUSIONS
Our case report highlights the fact that concurrent incapacitating illnesses like CFS may not allow proper care of contact lenses thereby making patients prone to contact lens-related corneal infections.
目的
报告一例慢性疲劳综合征（CFS）患者因镜片卫生不当导致的与隐形眼镜相关的棘阿米巴角膜炎病例。
方法
一名有CFS病史的58岁男性被诊断为与隐形眼镜相关的棘阿米巴角膜炎。在药物治疗无效后，对患眼进行了穿透性角膜移植术。
结果
术后棘阿米巴角膜炎未复发。在最后一次随访（3个月）时，观察到移植片完全重新上皮化，术眼最佳矫正视力为20/80。
结论
我们的病例报告强调了这样一个事实，即像CFS这样的并发致残性疾病可能不允许对隐形眼镜进行适当护理，从而使患者容易发生与隐形眼镜相关的角膜感染。
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