应用绿茶包热敷后发生的真菌性角膜炎
Fungal Keratitis following the Application of Green Tea Bag Warm Compresses.
作者信息
Erdinest Nir, Solomon Abraham, Lavy Itay, London Naomi, Wajnsztajn Denise
机构信息
Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Private Practice, Jerusalem, Israel.
出版信息
Case Rep Ophthalmol. 2025 May 9;16(1):410-415. doi: 10.1159/000546055. eCollection 2025 Jan-Dec.
INTRODUCTION
This case presents the development of severe fungal keratitis sourced from a green tea bag used as an ocular warm compress.
CASE PRESENTATION
A 29-year-old healthy patient developed a deep stromal fungal keratitis in his left eye 2 weeks after utilizing a green tea bag as a warm compress to improve meibomian gland dysfunction that ruptured over his eye. Treatment of infection included topical and intrastromal injections of voriconazole. Topical treatment was maintained after hospital discharge for 10 months. Follow-ups were continued until the complete resolution of active infection. Final corrected visual acuity was 0.7 (LogMAR, 0.3 pinhole), and there was residual corneal scarring.
CONCLUSION
Warm compresses are a first-line treatment for meibomian gland disorders. Although application of warm tea bags over the eyelids appears to be an economical and accessible option, this method should be carefully considered due to the risk of fungal keratitis development.
引言
本病例介绍了一例由用作眼部热敷的绿茶包引发的严重真菌性角膜炎的发病情况。
病例介绍
一名29岁的健康患者，在使用绿茶包热敷以改善睑板腺功能障碍（热敷时绿茶包在其眼部破裂）两周后，左眼发生了深层基质真菌性角膜炎。感染的治疗包括局部及基质内注射伏立康唑。出院后持续进行了10个月的局部治疗。持续随访直至活动性感染完全消退。最终矫正视力为0.7（LogMAR，针孔视力0.3），角膜有残留瘢痕。
结论
热敷是睑板腺疾病的一线治疗方法。尽管在眼睑上使用温茶包似乎是一种经济且可行的选择，但由于存在发生真菌性角膜炎的风险，应谨慎考虑这种方法。
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