Dutta Anirban, Das Sujata, Behera Himanshu Sekhara, Mittal Ruchi
Cornea, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, India.
Cornea, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, India
BMJ Case Rep. 2021 Feb 18;14(2):e240029. doi: 10.1136/bcr-2020-240029.
A 61-year-old man presented with a 1-month history of reduced vision, redness and pain in the right eye. Examination revealed a bandage contact lens (BCL) in situ with diffuse, pigmented deposits. On removal, the underlying cornea was found to be clear. He had been prescribed the BCL 6 months ago following a deep-seated corneal foreign body removal and was unable to follow-up subsequently.The BCL was sent for microbiological and histopathological evaluation. The culture revealed growth of spp, a dematiaceous fungi. Periodic acid-Schiff staining revealed infiltration of pigmented fungal filaments into the substance of the BCL.While contact lens deposits are a frequent finding, fungal deposits are seldom noted. Irregular follow-up and improper lens maintenance are significant risk factors for the same. Early identification and subsequent removal of the lens is vital to prevent infection of the underlying ocular structures.
一名61岁男性因右眼视力下降、发红和疼痛1个月前来就诊。检查发现眼内有一片包扎型隐形眼镜（BCL），伴有弥漫性色素沉着。取下后，发现下方角膜清晰。他在6个月前因深部角膜异物取出后被开具了BCL，但随后未能进行随访。BCL被送去进行微生物学和组织病理学评估。培养结果显示有 菌生长，这是一种暗色真菌。过碘酸希夫染色显示色素性真菌丝侵入了BCL实质。虽然隐形眼镜沉积物很常见，但真菌沉积物很少见。随访不规律和镜片维护不当是导致这种情况的重要危险因素。早期识别并随后取出镜片对于预防眼内结构感染至关重要。
