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角膜接触镜因为美容而被广大青年近视眼患者所采用,尤其是长戴型软接触镜更为倍受欢迎。随着配戴人数的增加,角膜并发症也逐年增多,其中的角膜溃疡最为严重。本文收集我院1984.3.1~1990.12.31接触镜角膜溃疡30例(30眼)进行临床分析,并探讨其发病机理及防治方法。资料及方法30例患者(30眼)均戴角膜接触镜时出现症状,通过临床、微生物学检查及治疗效果,最后诊断为微生物性角膜溃疡。所有患者均进行角膜坏死物微生物培养,方法为表面麻醉后取溃疡坏死物在血琼脂培养皿上划线接种培养48小时。常规治疗使用抗生素滴眼,严重者球结膜下注射。培养阳性则参照
Contact lens because of beauty and the majority of young people with myopia by the use of patients, especially the long wear type soft contact lenses more popular. With the increase in the number of people wearing, corneal complications have also increased year by year, of which the corneal ulcer is the most serious. This collection of our hospital from 1984.3.1 ~ 1990.12.31 contact lens corneal ulcer in 30 cases (30 eyes) for clinical analysis, and explore the pathogenesis and prevention methods. Materials and Methods All 30 patients (30 eyes) had symptoms when they were wearing contact lenses. Through clinical, microbiological examination and treatment, they finally diagnosed as microbial corneal ulcer. All patients were cultured corneal necrosis micro-organisms, the method for the surface of the ulcer necrosis after anesthesia on blood agar plate streaked inoculated and cultured for 48 hours. Routine treatment using antibiotic eye drops, severe subconjunctival injection. Culture positive reference