阿曼一家三级眼科单位的隐形眼镜诱发角膜溃疡管理——一项描述性研究。

Contact Lens Induced Corneal Ulcer Management in a Tertiary Eye Unit in Oman - A descriptive study.

作者信息

Shah Rikin, Shah Manali, Khandekar Rajiv, Al-Raisi Abdulatif

机构信息

Department of Ophthalmology, Al Nahdha Hospital, Ministry of Health, Muscat, Oman;

出版信息

Sultan Qaboos Univ Med J. 2008 Nov;8(3):283-90.

PMID:21748073

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3074844/

Abstract

OBJECTIVES

The corneal disease is a priority problem in Oman. We present patients with contact lens (CL) induced severe keratitis, admitted in the corneal unit of Al Nahdha Hospital in Oman.

METHODS

The study was conducted in 2005-2006. Ophthalmologists examined the eyes using slit lamp bio-microscope. Visual acuity was noted using Snellen's distance vision chart. Specimens of corneal scraping and CLs were sent for culture and sensitivity tests. Patients with severe keratitis were admitted and treated with medicines. Corneal and visual statuses were noted at the time of discharge from hospital and after six weeks. Numbers, percentages and their 95% confidence intervals were calculated. Pre- and post-treatment vision were compared using a scattergram.

RESULTS

The 52 eyes of 15 males and 37 female patients with corneal ulcers were examined. Thirty-two patients were between 20 to 30 years of age. Only 13 (25%) patients had visited an ophthalmologist within 24 hours of developing severe keratitis. Seventeen (33%) had central ulcers and six (11.5%) had ulcer ≥5 mm in size. Pseudomonas was found in 29 (55.8%) of CL and corneal material scraped from the eyes of 15 (28.8%) patients. Vision was <6/60 (legally blind) in 12 (23.1%) eyes before and in five (9.6%) eyes after treatment. Twenty-six (50%) patients were lost to follow up.

CONCLUSION

CL related severe keratitis causes visual disabilities. Prevention and proper records are essential. Treatment improves vision and hence facilities for management should be strengthened.

摘要

目的

角膜疾病是阿曼的一个重点问题。我们介绍了在阿曼纳赫达医院角膜科收治的因隐形眼镜（CL）导致严重角膜炎的患者。

方法

该研究于2005年至2006年进行。眼科医生使用裂隙灯生物显微镜检查眼睛。使用斯内伦远视力表记录视力。将角膜刮片和隐形眼镜标本送去进行培养和药敏试验。患有严重角膜炎的患者入院并接受药物治疗。在出院时和六周后记录角膜和视力状况。计算数字、百分比及其95%置信区间。使用散点图比较治疗前后的视力。

结果

对15名男性和37名女性患者的52只患有角膜溃疡的眼睛进行了检查。32名患者年龄在20至30岁之间。只有13名（25%）患者在发生严重角膜炎的24小时内看过眼科医生。17名（33%）有中央溃疡，6名（11.5%）溃疡大小≥5毫米。在29只（55.8%）隐形眼镜以及从15名（28.8%）患者眼睛刮取的角膜材料中发现了铜绿假单胞菌。治疗前12只（23.1%）眼睛的视力<6/60（法定失明），治疗后为5只（9.6%）眼睛。26名（50%）患者失访。