Department of Neurosurgery, People's Hospital of Jilin Province, Changchun 130000, China.
J Craniofac Surg. 2022 Sep 1;33(6):e545-e546. doi: 10.1097/SCS.0000000000008321. Epub 2022 Jun 28.
The present report describes a 79-year-old woman developed eye pain in her right eye after accidental exposure to the hair dye when she dyed her hair. Her visual acuity was no light perception and intraocular ocular pressure was 10 mmHg in her right eye. Slit-lamp biomicroscopy revealed a huge corneal ulcer with the central cornea almost perforated and severe hypopyon in anterior chamber and moderate opacity in vitreous. Time-of-flight mass-spectrum of cornea scraping confirmed that the pathogen was haemophilus influenzae. Right-eye enucleation was performed. Topical chloramphenicol eye drops (0.25%) and ciprofloxacin (0.3%) and the ceftezole intravenous infusion were applied. The infection was controlled and the patient recovered well on 1 month follow-up. Doctors should be aware of the diagnosis and treatment of this complication associated with the application of hair dye as the popularity of this procedure increases.
本报告描述了一位 79 岁女性在染发时不慎将头发染料溅入右眼后出现右眼疼痛。她右眼的视力无光感，眼内压为 10mmHg。裂隙灯生物显微镜检查显示巨大的角膜溃疡，中央角膜几乎穿孔，前房有严重的前房积脓和玻璃体内中度混浊。角膜刮片飞行时间质谱证实病原体为流感嗜血杆菌。行右眼眼球摘除术。局部应用氯霉素眼药水（0.25%）和环丙沙星（0.3%）及头孢替唑静脉滴注。1 个月随访时感染得到控制，患者恢复良好。随着这种操作的普及，医生应该意识到与使用染发剂相关的这种并发症的诊断和治疗。
