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弯孢霉感染表现为巩膜固定人工晶状体缝线上方反复出现的结膜糜烂。

Curvularia infection presenting as recurrent conjunctival erosion overlying a scleral-fixated intraocular lens suture.

作者信息

Arepalli Sruthi, Goshe Jeffrey, Rachitskaya Aleksandra

机构信息

Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.

Tennessee Retina Associates, Nashville, TN, USA.

出版信息

Am J Ophthalmol Case Rep. 2022 Jun 15;27:101605. doi: 10.1016/j.ajoc.2022.101605. eCollection 2022 Sep.

DOI:10.1016/j.ajoc.2022.101605
PMID:35756835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9213224/
Abstract

PURPOSE

To describe a case of an indolent, chronic Curvularia infection after a ruptured globe injury from an intraocular metallic foreign body in a 38-year old male. Following globe repair and vitrectomy, the patient underwent a sutured scleral-fixated lens. The patient subsequently presented with recurrent painless conjunctival erosion associated with small, pigmented skip lesions of the exposed suture.

OBSERVATION

Indolent, chronic infections can present with subtle signs, including small areas of suture exposure and pigmentation as well as and small ciliary body collections.

CONCLUSION

Recurrent conjunctival erosion in cases of secondary sutured scleral fixated intraocular lenses should prompt evaluation for possible infectious etiology.

摘要

目的

描述一名38岁男性因眼内金属异物导致眼球破裂伤后发生的一种惰性慢性弯孢霉感染病例。在进行眼球修复和玻璃体切除术后，患者接受了巩膜固定缝线晶状体植入术。患者随后出现反复无痛性结膜糜烂，伴有暴露缝线处的小色素沉着跳跃性病变。

观察结果

惰性慢性感染可能表现为细微体征，包括缝线暴露和色素沉着的小面积区域以及小的睫状体积液。

结论

继发性巩膜固定缝线人工晶状体病例中反复出现的结膜糜烂应促使对可能的感染病因进行评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aede/9213224/e06952fa96ff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aede/9213224/610677128b69/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aede/9213224/384289dfa2db/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aede/9213224/e06952fa96ff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aede/9213224/610677128b69/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aede/9213224/384289dfa2db/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aede/9213224/e06952fa96ff/gr3.jpg

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