Lembach R G, Ringel D M
Department of Ophthalmology, Ohio State University, Columbus 43210.
Cornea. 1990 Jul;9(3):246-8.
We report a case of bilateral factitious crystalline keratopathy in an 18-year-old man. Initial slit-lamp examination revealed corneal ulcers characterized by stromal infiltrates with intrastromal blue refractile crystals O.D. greater than O.S. Through careful history taking, the patient admitted to bilaterally injecting eyeshadow into the corneal stroma. The importance of maintaining a high index of suspicion in bilateral atypical corneal ulcers in patients without a history of trauma or contact lens exposure is essential. Discussion of the differential diagnoses and approach to therapy is included.
我们报告一例18岁男性双侧人为性结晶性角膜病变。初次裂隙灯检查发现角膜溃疡，其特征为基质浸润伴基质内蓝色折光晶体，右眼病变较左眼严重。通过仔细询问病史，患者承认双侧将眼影注入角膜基质。对于无外伤或接触镜佩戴史的双侧非典型角膜溃疡患者，保持高度怀疑指数至关重要。本文还包括鉴别诊断及治疗方法的讨论。
