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本文报告二例新潜水员因带潜水面罩而引起的迟发性浅层点状角膜炎。例1,24岁,女性。主诉两眼重度烧灼痛。患者曾自戴潜水呼吸器潜水,潜水期间眼不疼痛;浮出水面后,自觉有虹视和某种程度的无痛性视力模糊,30分钟内消失;约60分钟后,出现重度烧灼感、畏光、流泪和睑痉挛。经了解患者于潜水前初次使用去雾剂,用后未将面罩镜片擦亮,亦未待干即戴面罩下水。体检:两眼视力为6/6,轻度球结膜水肿及结膜充血;瞳孔反应正常;角膜略显浑浊,裂隙灯检查见有灰白色点状混浊,萤光素染色呈弥漫性浅层点状着色;无上皮剥脱或基质水肿。给患者滴用抗生素并戴眼罩18小时,此
This article reports two cases of late-onset superficial punctate keratitis caused by a new diver with a diving mask. Example 1,24 years old, female. Chief complaint of severe burning pain in both eyes. The patient had scubaed from a respirator and had no painful eyes during the dive. After the water surfaced, he or she unconsciously had rainbow pain and some painless blurred vision and disappeared within 30 minutes. After about 60 minutes, he developed a severe burning sensation, Photophobia, tearing and blepharospasm. The understanding of patients before the first use of the diving agent to the fog, after the lens is not used to polish the mask, not to be dry to wear a mask to the water. Physical examination: visual acuity was 6/6 in both eyes, mild bulbar conjunctival edema and conjunctival hyperemia; pupil response was normal; corneal slightly turbid, slit lamp examination showed a turbid white spot turbid, fluorescein staining was diffuse shallow punctate coloring No epithelial exfoliation or stromal edema. To patients with antibiotics and wear eye mask 18 hours, this