一例伴有铜绿假单胞菌感染的坏死性巩膜角膜炎特殊病例。

A peculiar case of necrotizing sclerokeratitis with Pseudomonas infection.

作者信息

Hanssens M

机构信息

Dept. of Ophthalmology, University Clinic, Ghent, Belgium.

出版信息

Bull Soc Belge Ophtalmol. 1995;259:45-52.

PMID:8936773

Abstract

A 71-year old woman complains of painless inflammation, discharge and decreased vision at the right eye since two weeks. Eight years before she was operated at this eye for a nasally located pterygium and received adjuvant radiotherapy. On examination a necrotizing scleritis was seen which rapidly involved the cornea and was infected by Pseudomonas. Despite intensive antibiotherapy the sclerokeratitis extended further and eventually lead to enucleation. Surgically induced scleritis-especially after pterygium surgery with adjuvant radiotherapy-and complicating Pseudomonas infection are discussed.

摘要

一名71岁女性自两周前起出现右眼无痛性炎症、分泌物增多及视力下降。八年前她曾因右眼鼻侧翼状胬肉接受手术，并接受了辅助放疗。检查发现坏死性巩膜炎，迅速累及角膜并被铜绿假单胞菌感染。尽管进行了强化抗微生物治疗，巩膜角膜炎仍进一步扩展，最终导致眼球摘除。本文讨论了手术诱发的巩膜炎，尤其是翼状胬肉手术后辅助放疗后的情况，以及并发的铜绿假单胞菌感染。