Carmichael T R, Wolpert M, Koornhof H J
Br J Ophthalmol. 1985 Dec;69(12):920-6. doi: 10.1136/bjo.69.12.920.
During a one-year survey 283 corneal ulcers from 274 patients were seen at St John's Eye Unit of Baragwanath Hospital. Central bacterial ulcers constituted the largest problem, and the commonest isolate in this group was Streptococcus pneumoniae. Mycotic and dendritic keratitis were relatively uncommon, while marginal catarrhal ulceration secondary to chronic staphylococcal lid disease was frequently seen. The microbiology of the various ulcers is described, and the placing of organisms into classes is stressed in determining significance of isolates. Many of the patients were male Africans who were either manual labourers or unemployed. Half the patients had used topical antibiotics before presentation.
在为期一年的调查中，巴拉格瓦纳特医院圣约翰眼科病房共接诊了274例患者的283处角膜溃疡。中央细菌性溃疡是最主要的问题，该组中最常见的分离菌是肺炎链球菌。真菌性角膜炎和树枝状角膜炎相对少见，而慢性葡萄球菌性睑病继发的边缘性卡他性溃疡则很常见。文中描述了各种溃疡的微生物学情况，并强调在确定分离菌的意义时将微生物分类的重要性。许多患者是非洲男性，他们要么是体力劳动者，要么失业。一半的患者在就诊前使用过局部抗生素。
