Steinkogler F J, Huber-Spitzy V
Second University Eye Clinic, Vienna, Austria.
J Craniomaxillofac Surg. 1988 Jan;16(1):28-30. doi: 10.1016/s1010-5182(88)80010-6.
In a six weeks old boy, a necrotizing Pseudomonas infection had destroyed nearly the whole lid apparatus, the lacrimal structures of the right eye and the medial canthal region, the medial thirds of the eyelids and the lacrimal passages on the left side. The infection was only controlled by intensive antibiotic therapy after more than two weeks. The exposure keratitis of the right eye was followed by corneal perforation, two months after the beginning of the therapy. A keratoplasty was performed, but soon a staphyloma and later, dense scarring developed. After the haematological and immunological situation was under control we could contemplate covering the large defect in the medial canthal area (open right canalis nasolacrimalis) at the age of seven months. The right lower lid has to be reconstructed later. The left eyelid defects have closed by spontaneous granulation. The little boy is no longer receiving antibiotic treatment and is developing very well.
在一名六周大的男婴中，坏死性假单胞菌感染几乎破坏了整个眼睑结构、右眼的泪器结构和内眦区域、双侧眼睑的内三分之一以及左侧的泪道。经过两周多的强化抗生素治疗，感染才得到控制。治疗开始两个月后，右眼暴露性角膜炎继发角膜穿孔。进行了角膜移植，但很快出现了葡萄肿，随后形成了致密瘢痕。在血液学和免疫学状况得到控制后，我们考虑在七个月大时修复内眦区域的大缺损（右侧鼻泪管开放）。右侧下睑稍后需要重建。左侧眼睑缺损通过自发肉芽组织形成而闭合。小男孩不再接受抗生素治疗，发育良好。
