Chaniyara Manthan Hasmukhbhai, Pujari Amar, Urkude Jayanand, Sharma Namrata
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All IndiaInstitute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2017 Oct 9;2017:bcr-2017-221226. doi: 10.1136/bcr-2017-221226.
A 12-year-old boy presented to the emergency department with chief complaints of pain, redness, discharge and diminution of vision in both eyes over the previous 20 days. There was no history of preceding trauma, contact lens use, any eye drop usage or ocular surgery. Systemic history was not significant. Presenting uncorrected visual acuity in his right eye was counting fingers at 1 m and 20/200 in the left eye, with accurate projection of rays in both eyes. Slit lamp biomicroscopy showed the presence of bilateral diffuse conjunctival congestion, corneal ring infiltrates and epithelial defect with corneal oedema. Potassium hydroxide wet mount showed the presence of septate fungal hyphae. The patient was treated with topical 5% natamycin and 1% voriconazole over a period of 6 weeks. Best-corrected visual acuity was 20/600 in the right eye and 20/20 in the left eye at 6-month follow-up.
一名12岁男孩因双眼疼痛、发红、有分泌物及视力下降20天就诊于急诊科。既往无外伤史、未使用过隐形眼镜、未使用过任何眼药水或眼部手术史。全身病史无特殊。就诊时右眼裸眼视力为1米指数，左眼为20/200，双眼光线投射准确。裂隙灯显微镜检查显示双眼弥漫性结膜充血、角膜环形浸润及上皮缺损伴角膜水肿。氢氧化钾湿片检查显示有分隔的真菌菌丝。患者接受了为期6周的局部5%那他霉素和1%伏立康唑治疗。6个月随访时，右眼最佳矫正视力为20/600，左眼为20/20。
