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患者,女,农民,59岁,左眼被名为Scotinophara菌的黑色谷物昆虫蜇伤后疼痛肿胀1wk,表现为急性进行性视物模糊。左眼检查发现有明显的眼球突出、眶周肿胀和上睑下垂,眼球各个方向运动均受到限制。角膜浑浊伴上皮大片缺损。眼底检查发现视网膜中央动、静脉闭塞,视盘水肿和黄斑区缺血等特征。CT扫描和脑与眼眶MRI检查发现眼眶软组织炎症。患者诊断为左眼眶蜂窝织炎、角膜炎(角膜葡萄肿)和和视网膜中央动静脉闭塞。全身和局部抗菌素治疗后,眼眶周围肿胀,眼球突出明显改善。但是视力仍为无光感,此外,仍存在持续性眼球运动障碍。Scotinophara菌产生了严重的和长久的潜在眼部刺激。Scotinophara菌所致可觉察的轻微人眼伤害尤其在易发部位应该及时给予滴眼液治疗。
Patient, female, farmer, 59 years old, left eye Black swarm of insects called Scotinophara swollen for 1 week after sting and showed acute progressive blurred vision. Left eye examination revealed significant prominent eye, orbital swelling and ptosis, eye movement in all directions are limited. Corneal opacity with large epithelial defects. Fundus examination found that the central retinal movement, vein occlusion, optic disc edema and macular ischemia and other characteristics. CT scan and brain and orbital MRI examination of orbital soft tissue inflammation. Patients were diagnosed with left orbital cellulitis, keratitis (corneal staphyloma), and central retinal artery and vein occlusion. After systemic and topical antibiotic treatment, the periorbital swelling and prominent eyeballs improved significantly. However, the sight is still dull, in addition, there are still persistent eye movement disorders. Scotinophara bacteria produce serious and long-term potential eye irritation. Eye damage caused by Scotinophara bacteria can be perceived, especially in the prone areas should be given eye drops treatment.