Samira Nuriadara, Bani Anna Puspitasari, Susiyanti Made
Department of Ophthalmology, Cipto Mangunkusumo Kirana Hospital, Jakarta, Indonesia.
BMJ Case Rep. 2016 Feb 23;2016:bcr2015213547. doi: 10.1136/bcr-2015-213547.
A 17-year-old female patient was referred to Kirana Ophthalmology Unit, Cipto Mangunkusumo Hospital, with a 10-day history of redness and swelling of the eyes, and inability to open them. Other symptoms included pain, blurred vision and excessive yellowish-white discharge from both eyes. There was a history of multiple sexual partners. The patient was assessed with bilateral perforated corneal ulcer due to gonococcal infection, based on the findings of intracellular and extracellular Gram-negative diplococci found on the Gram staining examination. The cornea in both eyes showed perforation with iris prolapse inferiorly. The perforations were treated with temporary periosteal grafts. The grafts remained in place after the surgery. Final uncorrected visual acuity was 6/20 in the right eye and 6/24 in the left eye, a few months after surgery.
一名17岁女性患者被转诊至西爪哇省芝多博·曼古库苏莫医院的基拉纳眼科病房，其双眼发红肿胀已有10天，且无法睁开。其他症状包括疼痛、视力模糊以及双眼有大量黄白色分泌物。该患者有多个性伴侣史。根据革兰氏染色检查发现细胞内和细胞外革兰氏阴性双球菌，评估该患者为淋菌性感染导致的双侧角膜穿孔性溃疡。双眼角膜均显示穿孔，虹膜向下脱垂。穿孔处采用临时骨膜移植进行治疗。术后移植片仍在位。术后几个月，右眼最终未矫正视力为6/20，左眼为6/24。
