Monsudi Kehinde F, Ayanniyi Abdulkabir A
Department of Ophthalmology, Federal Medical Centre, BirninKebbi, Nigeria.
Saudi J Ophthalmol. 2011 Apr;25(2):207-10. doi: 10.1016/j.sjopt.2010.09.001. Epub 2010 Jul 10.
A 14-year-old girl presented with bilateral visual impairment following hot water injury to the eyes. The patient was admitted for a week and managed with guttae tropicamide 0.5% 8 h, diclofenac sodium 0.1% 4 h, and fluoroquinolone 0.3% 6 h and ointment chloramphenicol 8 h. Also, the patient was managed with capsule doxycycline 100 mg 12 h for 10 days, tablet cataflam 50 mg 12 h for 7 days and intramuscular tetanus toxoid 0.5 mg stat and dermacine cream for facial scald. The visual acuities improved from 3/60 (right eye) and 6/24 (left eye) to 6/6 in both eyes. There were resolutions of facial/eye pain, tearing, photophobia, lid edema, blepharospasm, and conjunctival hyperemia. There was complete healing of facial wounds and corneal ulcers. She was discharged from hospital on the 7th day of admission. Prompt presentation, degree of scald sustained, and appropriate medical intervention enhanced visual recovery and wound healing in the patient.
一名14岁女孩因双眼被热水烫伤而出现双侧视力障碍。患者入院一周,接受如下治疗:每8小时滴一次0.5%托吡卡胺滴眼液,每4小时滴一次0.1%双氯芬酸钠滴眼液,每6小时滴一次0.3%氟喹诺酮滴眼液,每8小时涂一次氯霉素眼膏。此外,患者还接受如下治疗:每12小时口服100毫克强力霉素胶囊,共10天;每12小时口服50毫克卡洛芬片,共7天;立即肌肉注射0.5毫克破伤风类毒素,并使用德马辛乳膏治疗面部烫伤。双眼视力从右眼3/60、左眼6/24提高到双眼6/6。面部/眼部疼痛、流泪、畏光、眼睑水肿、眼睑痉挛和结膜充血均消失。面部伤口和角膜溃疡完全愈合。患者在入院第7天出院。及时就诊、烫伤程度以及适当的医疗干预促进了患者的视力恢复和伤口愈合。