论文部分内容阅读
目的探讨洋葱所致真菌性角膜炎的诊断及治疗。方法对12例由洋葱所致的真菌性角膜炎患者给予清创,局部点0.5%那他霉素眼液,0.5%氟康唑眼液,自体血清,阿托品凝胶,同时给予免疫调节治疗。结果无效1例,占8.3%;好转3例,占25%;痊愈8例,占67%。病程15～46d,平均30d。前房积脓全部吸收,无一例眼球感染。结论对洋葱致真菌性角膜炎,正确诊断,及早治疗,合理用药是关键,自身防御很重要。治疗及时可以避免发生眼内炎,尽量降低角膜瘢痕的形成,降低发生角膜移植的比例。
Objective To investigate the diagnosis and treatment of onion-induced fungal keratitis. Methods Twelve patients with fungal keratitis caused by onions were given debridement, topical 0.5% natamycin ophthalmic solution, 0.5% fluconazole ophthalmic solution, autologous serum and atropine gel, and given immunomodulatory therapy. Results invalid 1 cases, accounting for 8.3%; improved in 3 cases, accounting for 25%; cured in 8 cases, accounting for 67%. Course of 15 ~ 46d, an average of 30d. Abscess anterior absorption, no case of eye infection. Conclusion Onion-induced fungal keratitis, correct diagnosis, early treatment, rational drug use is the key, its own defense is very important. Treatment can be timely to avoid the occurrence of endophthalmitis, minimize the formation of corneal scar, reduce the incidence of corneal transplantation.