Zakirova G Z
Kazan State Medical University, Kazan, Russia.
Children's Clinical Hospital of the Health Ministry of the Republic of Tatarstan, Kazan, Russia.
Vestn Oftalmol. 2021;137(1):74-77. doi: 10.17116/oftalma202113701174.
Currently, the number of keratomycoses and the interest of ophthalmologists to this type of keratitis have significantly increased due to the severity of the disease and non-satisfactory outcomes in some cases. According to published data, perforation of the cornea develops 6 times more often after keratomycosis than after keratitis of another etiology. The outcomes of keratoplasty in these patients are also not always satisfactory. The article presents a relatively rare clinical case of keratomycosis in a teenager caused by . The description of diseases caused by this microorganism is rarely found in literature. We have found only 4 cases describing keratomycosis caused by . The case presented here is associated with the use of contact lenses. The microorganism was identified from a container with contact lenses. Fungicidal drugs such as Anidulafungin, Voriconazole, as well as topical and systemical Amphotericin B were used in the treatment. The patient was discharged with a good functional result (best-corrected visual acuity of 0.7). This case indicates the possibility of a positive functional outcome in treating keratomycosis with present-day means.
目前，由于角膜真菌病病情严重且在某些情况下治疗效果不尽人意，此类角膜炎的病例数量以及眼科医生对其的关注度显著增加。根据已发表的数据，角膜真菌病导致角膜穿孔的发生率比其他病因引起的角膜炎高6倍。这些患者角膜移植的效果也并非总是令人满意。本文介绍了一例青少年相对罕见的由……引起的角膜真菌病临床病例。文献中很少见到关于这种微生物引起疾病的描述。我们仅发现4例描述由……引起的角膜真菌病的病例。此处呈现的病例与隐形眼镜的使用有关。该微生物是从装有隐形眼镜的容器中鉴定出来的。治疗中使用了杀真菌药物，如阿尼芬净、伏立康唑以及局部和全身使用的两性霉素B。患者出院时功能恢复良好（最佳矫正视力为0.7）。该病例表明，用目前的方法治疗角膜真菌病有可能获得良好的功能预后。
