Kikuchi Yota, Toshida Hiroshi, Ono Junji
Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka, JPN.
Ophthalmology, Ono Eye Clinic, Shizuoka, JPN.
Cureus. 2024 Sep 5;16(9):e68717. doi: 10.7759/cureus.68717. eCollection 2024 Sep.
A 63-year-old male with high myopia developed sudden visual loss, eyelid swelling, eye pain, discharge, and tearing in his left eye while wearing soft contact lenses (CLs) during the day and orthokeratology lenses at night. At the initial visit, his corrected visual acuity in the left eye was 20/1000, with a ring-shaped ulcer in the central cornea, corneal infiltration across the entire cornea, and conjunctival hyperemia. was detected from corneal scrapings, and after antibiotic treatment, the ulcer healed with corneal opacity remaining. On the 60th day, corrected visual acuity of 20/20 was achieved with rigid gas-permeable CLs. To prevent CL-related ocular complications, eye care professionals must carefully evaluate the suitability of all CLs, including orthokeratology.
一名63岁的高度近视男性，白天佩戴软性隐形眼镜（CLs），晚上佩戴角膜塑形镜时，左眼突然出现视力丧失、眼睑肿胀、眼痛、分泌物增多及流泪症状。初诊时，其左眼矫正视力为20/1000，中央角膜有环形溃疡，整个角膜有角膜浸润，结膜充血。角膜刮片中检测到[具体病菌未给出]，抗生素治疗后溃疡愈合，但角膜仍留有混浊。第60天时，佩戴硬性透气性CLs后矫正视力达到20/20。为预防与CL相关的眼部并发症，眼保健专业人员必须仔细评估所有CLs（包括角膜塑形镜）的适用性。
