艾哈迈德青光眼引流阀植入术后的深部角膜真菌病
Deep Keratomycosis Following Ahmed Glaucoma Valve Implantation.
作者信息
Mansoori Tarannum, Srirampur Arjun, Agraharam Satish Gooty, Reddy Ashok Kumar
机构信息
Sita Lakshmi Glaucoma Center, Anand Eye Institute, Hyderabad, Telangana, India.
Department of Cornea, Anand Eye Institute, Hyderabad, Telangana, India.
出版信息
J Curr Ophthalmol. 2020 Jul 4;32(3):302-304. doi: 10.4103/JOCO.JOCO_142_20. eCollection 2020 Jul-Sep.
PURPOSE
To report an unusual case of deep keratomycosis after Ahmed glaucoma valve (AGV) implantation.
METHODS
A 70-year-old male presented with a deep corneal stromal infiltrate, without epithelial involvement, 3 weeks after a successful AGV implantation for neovascular glaucoma. Microscopic examination of the anterior chamber exudates revealed fungal filaments on smear, and white fungal colonies were observed on the Blood agar and Sabouraud dextrose agar. The fungus was identified as .
RESULTS
The patient was treated with oral and topical 1% voriconazole. Ten weeks after the treatment, the corneal infiltrate resolved, resulting in a vascularized scar.
CONCLUSION
As recalcitrant keratomycosis of the deep corneal layers may occur after AGV implantation, early identification and prompt treatment may help to achieve complete resolution of the infection and salvage the eye.
目的
报告1例艾哈迈德青光眼引流阀（AGV）植入术后发生深部角膜真菌病的罕见病例。
方法
一名70岁男性，因新生血管性青光眼成功植入AGV 3周后，出现深层角膜基质浸润，未累及上皮。前房渗出物显微镜检查涂片显示真菌丝，血琼脂和沙氏葡萄糖琼脂上观察到白色真菌菌落。该真菌被鉴定为……
结果
患者接受口服及局部使用1%伏立康唑治疗。治疗10周后，角膜浸润消退，形成血管化瘢痕。
结论
由于AGV植入术后可能发生深层角膜顽固性真菌病，早期识别和及时治疗可能有助于实现感染的完全消退并挽救患眼。
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