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[狼蛛毛发作为角膜异物]

[Tarantule hairs as corneal foreign bodies].

作者信息

Kremmer S, Rohrbach J M, Frohn A, Eckstein A, Thiel H J

机构信息

Universitäts-Augenklinik, Abteilung 1, Tübingen.

出版信息

Klin Monbl Augenheilkd. 1995 Apr;206(4):277-8. doi: 10.1055/s-2008-1035440.

Abstract

A 22 year-old-man and owner of several tarantulas visited his ophthalmologist because of red itchy eyes. Additionally to kerato-conjunctivitis epidemica, uncommon hairs were found especially in his left cornea. Corrected visual acuity was 0.8. According to literature these spider hairs can induce granulomas in the meaning of ophthalmia nodosa, and even migrate inside the eye. Therefore we removed as many hairs as possible, but we left two, not to cause iatrogen perforation. The penetration depth was measured by laser tomography. Local steroids successfully prevented further granuloma formation. Regular ophthalmological controls are important to early detect possible changes, and if necessary to remove these hairs even from deeper corneal layers, in case by keratectomy.

摘要

一名22岁、饲养了几只狼蛛的男子因眼睛发红发痒去看眼科医生。除了流行性角结膜炎外,在他的眼睛里,尤其是左眼角膜发现了罕见的毛发。矫正视力为0.8。根据文献记载,这些蜘蛛毛发可诱发结节性眼炎意义上的肉芽肿,甚至可在眼内迁移。因此,我们尽可能多地拔除了毛发,但留下了两根,以免造成医源性穿孔。通过激光断层扫描测量了毛发的穿透深度。局部使用类固醇成功地防止了进一步的肉芽肿形成。定期进行眼科检查对于早期发现可能的变化很重要,如有必要,即使是角膜深层的毛发,也可通过角膜切除术予以拔除。

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