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结膜囊蝇蛆病在新疆较为多见,牧区更易发生。蝇蛆可引起角膜炎,甚至钻进眼眶、眼球内和泪道、引起眼的严重后果。大多病人因异物感而就诊。眼部检查,可见结膜囊内大量蛆虫、形细而长、蠕动、有些则成堆、成片紧紧附着在角膜表面、不易擦去。笔者曾遇到十余例,其中多数是幼童,经用1%地卡因液表面麻醉1至2次,虫体即自行脱离角膜表面,至结膜囊后随泪液(此时病人均有大量泪液)自行排出,然后再用抗菌素眼药水冲洗之,为预防感染给抗菌素眼药水点眼3至5天。十余例病人未见再来复诊者。体会:①虫体自行脱离其附着性,是为
Conjunctival myiasis is more common in Xinjiang, pastoral areas are more likely to occur. Maggots can cause keratitis, or even into the eyes, eyes and lacrimal passages, causing serious eye consequences. Most patients due to foreign body sensation and treatment. Eye examination, showing a large number of maggots within the conjunctival sac, thin and long, peristalsis, while others are piles, into a film tightly attached to the corneal surface, not easily erased. I have encountered more than ten cases, most of them young children, by 1% of the surface of caocaine anesthesia 1 to 2 times, the parasites that are from the corneal surface to the conjunctival sac with tears (at this time the patients have a large number Tears) self-discharge, and then use antibiotic eye drops to wash it, to prevent infection to antibiotic eye drops 3 to 5 days. More than ten patients did not come back to the referral. Experience: ① insects from their own attachment, is for