Shenoy Radha, Bialasiewicz Alexander, Khandekar Rajiv, Al Barwani Badar, Al Belushi Habiba
Department of Ophthalmology, Armed Forces Hospital, Sultanate of Oman.
Middle East Afr J Ophthalmol. 2009 Apr;16(2):92-6. doi: 10.4103/0974-9233.53869.
To present three patients with ocular disease who developed a range of complications following use of traditional medications.
Case series
Three patients who were examined in the Ophthalmic department of a tertiary care teaching hospital in the Sultanate of Oman between 2003 and 2004, seeking care following use of traditional medicines and or healing practices for various ophthalmic problems described below.
The first patient was a computer professional with a chalazion; the patient used a plant extract from 'Calotropis procera' as a part of the treatment. He developed corneal edema with decrease in vision in his left eye following application of the plant extract. Treatment with topical steroids and antibiotics resulted in a complete clinical and visual recovery. The second patient developed a fungal corneal ulcer (dermatophyte - Trichophyton mentagrophyte) after sustaining injury with an animal tail to the right eye and used honey for pain relief prior to presentation. She responded poorly to anti-fungal treatment, underwent a penetrating keratoplasty with recurrence of infection in the graft that resulted in a vascularized corneal scar. The third patient was a five-year-old child who was treated with 'wasam' on the occiput for intraocular inflammation following bilateral uncomplicated cataract extraction. Following this treatment the topical steroid was discontinued. The 'Wasam' treatment indirectly resulted in exacerbation of the intraocular inflammation and secondary glaucoma and poor vision as well as 'Wasam ulcers' on the occiput. Despite treatment of the intraocular inflammation, the visual outcome was poor.
Traditional medicine in Oman is sought by many for variable reasons. Lack of evidence-based scientific data on its safety or efficacy does not deter the Omanis from flocking the traditional healers. However, when applied in the treatment of ocular diseases, traditional medicine and healing practices seem to cause more harm than benefit for the patient.
介绍三名患有眼部疾病的患者，他们在使用传统药物后出现了一系列并发症。
病例系列
2003年至2004年间，在阿曼苏丹国一家三级护理教学医院的眼科接受检查的三名患者，他们因使用传统药物和/或治疗方法来解决下述各种眼科问题而前来就医。
第一名患者是一名患有睑板腺囊肿的计算机专业人员；该患者使用了“牛角瓜”的植物提取物作为治疗的一部分。在应用该植物提取物后，他左眼出现角膜水肿并视力下降。局部使用类固醇和抗生素治疗后，临床和视力完全恢复。第二名患者右眼被动物尾巴划伤后发生真菌性角膜溃疡（皮肤癣菌——须癣毛癣菌），在就诊前使用蜂蜜缓解疼痛。她对抗真菌治疗反应不佳，接受了穿透性角膜移植术，但移植片感染复发，导致角膜瘢痕血管化。第三名患者是一名五岁儿童，双侧无并发症白内障摘除术后因眼内炎症在枕部接受“瓦萨姆”治疗。在此治疗后停用了局部类固醇。“瓦萨姆”治疗间接导致眼内炎症加重、继发性青光眼和视力不佳，以及枕部出现“瓦萨姆溃疡”。尽管对眼内炎症进行了治疗，但视力预后仍很差。
阿曼的许多人因各种原因寻求传统医学。缺乏关于其安全性或有效性的循证科学数据并未阻止阿曼人涌向传统治疗师。然而，当应用于眼部疾病的治疗时，传统医学和治疗方法似乎对患者造成的伤害大于益处。
