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狼蛛毛从眼内极到极的穿行——红眼的一个有趣病因

Pole to pole intraocular transit of tarantula hairs-an intriguing cause of red eye.

作者信息

Sheth Hiten G, Pacheco Patricio, Sallam Ahmed, Lightman Sue

机构信息

Department of Clinical Ophthalmology, Institute of Ophthalmology, Moorfields Eye Hospital, City Road, London EC1V 2PD, UK.

出版信息

Case Rep Med. 2009;2009:159097. doi: 10.1155/2009/159097. Epub 2009 Dec 16.

Abstract

This intriguing case report provides novel images and a description of the anterior and rarer posterior segment findings seen in ocular inflammation associated with tarantula spider hair exposure. We present an interventional case report of a 9-year-old boy who presented with a red, sore eye. Slit lamp examination revealed right eye injection, multiple small hairs at differing levels of the cornea with associated opacities and inflammation within the anterior and posterior segments of the eye. Only after detailed and repeated questioning did the aetiology become apparent. Conservative management in the form of topical steroid and antibiotics was commenced and he did well with no obvious sequelae in the medium term. Healthcare personnel (and indeed pet shop owners, arachnid enthusiasts and even parents) should be aware of the potential ocular complications of tarantula hair exposure and clinicians should perhaps specifically ask about pet-keeping when presented with an unusual red eye.

摘要

这篇引人入胜的病例报告提供了新颖的图像,并描述了与狼蛛毛发接触相关的眼部炎症中所见的前部和较罕见的后部节段的发现。我们展示了一例9岁男孩的介入性病例报告,该男孩出现眼红、眼痛。裂隙灯检查显示右眼充血,角膜不同层面有多个小毛发,并伴有眼前段和后段的混浊及炎症。仅在详细反复询问后病因才变得明显。开始采用局部类固醇和抗生素的保守治疗,中期他情况良好,无明显后遗症。医护人员(实际上还有宠物店店主、蜘蛛爱好者甚至家长)应意识到狼蛛毛发接触可能导致的眼部并发症,临床医生在面对不寻常的红眼病例时或许应特别询问宠物饲养情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e442/2796227/456cef899c08/CRM2009-159097.001.jpg

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