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在一名佩戴彩色美容隐形眼镜者中由洋葱伯克霍尔德菌引起的双侧微生物性角膜炎。

Burkholderia Cepacia-Induced Bilateral Microbial Keratitis in a Wearer of Colored Cosmetic Contact Lenses.

作者信息

Miura Maria, Toshida Hiroshi

机构信息

Ophthalmology, Juntendo University School of Medicine, Tokyo, JPN.

Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka, JPN.

出版信息

Cureus. 2022 Mar 4;14(3):e22840. doi: 10.7759/cureus.22840. eCollection 2022 Mar.

DOI:10.7759/cureus.22840
PMID:35382181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8977052/
Abstract

In this report, we present a case of ​​​​​​ ()-induced bilateral microbial keratitis in a patient who wore colored contact lenses (CLs) on both eyes. The patient was a 19-year-old woman who presented to our hospital with pain, discharge, and photophobia affecting both eyes while she was wearing colored cosmetic CLs. There were corneal ulcers in both of her eyes without refractive correction. Although impairment of vision was not detected at the first visit, both eyes showed neovascularization of the upper part of the cornea and had relatively well-demarcated corneal ulcers associated with corneal stromal opacity. Cultures of cornea grew in both eyes. She received antimicrobial agents to which this organism was sensitive, resulting in the healing of the corneal ulcers with scarring after approximately one month. Improper fitting of colored cosmetic CLs, contamination of lenses or solutions, and inadequate lens care can be risk factors for developing this condition.

摘要

在本报告中,我们呈现了一例在双眼佩戴彩色隐形眼镜(CLs)的患者中由(此处原文缺失具体内容)引起的双侧微生物性角膜炎病例。该患者为一名19岁女性,在佩戴彩色美容隐形眼镜时双眼出现疼痛、分泌物增多及畏光症状,遂前来我院就诊。她双眼均有角膜溃疡,未进行屈光矫正。虽然初诊时未检测到视力损害,但双眼角膜上部均出现新生血管,且有边界相对清晰的角膜溃疡,并伴有角膜基质混浊。双眼角膜培养均生长出(此处原文缺失具体内容)。她接受了该微生物敏感的抗菌药物治疗,大约一个月后角膜溃疡愈合并留下瘢痕。彩色美容隐形眼镜佩戴不当、镜片或护理液污染以及镜片护理不足均可能是发生这种情况的危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/16c6035a1b03/cureus-0014-00000022840-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/c89849a11af7/cureus-0014-00000022840-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/118917d00af2/cureus-0014-00000022840-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/925474c2fca7/cureus-0014-00000022840-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/16c6035a1b03/cureus-0014-00000022840-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/c89849a11af7/cureus-0014-00000022840-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/118917d00af2/cureus-0014-00000022840-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/925474c2fca7/cureus-0014-00000022840-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e28/8977052/16c6035a1b03/cureus-0014-00000022840-i04.jpg

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本文引用的文献

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Bilateral simultaneous postoperative endophthalmitis: review of cases reported over the past 50 years.双侧同期术后眼内炎:回顾过去 50 年报告的病例。
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, a cause of post pars plana vitrectomy silicone oil related endophthalmitis: clinico-pathological presentation and outcome of management.扁平部玻璃体切除术后硅油相关眼内炎的一个病因:临床病理表现及治疗结果
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[Contact lens-related keratitis and purulent corneal ulcers].[隐形眼镜相关性角膜炎和化脓性角膜溃疡]
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