斑疹伤寒是立克次氏体所致的急性传染病,在发病过程中常伴有眼部变化,特别是眼底的改变。作者曾对109例斑疹伤寒住院病人进行了眼部检查,特作一初步描述,以供同道参考。眼部改变Ⅰ、外眼改变:在检查中只发现极少数病例在高烧期中有结膜充血及羞明症状;27％的患者瞳孔调节反应迟钝,但对光反应良好。未见其它变化。文献所载的眼脸脓肿、结膜下出血、结膜斑疹、眼肌麻痺、角膜溃疡、虹膜炎,併发性白内障等,在我们观察的病例中均未见到。此点和日本昭和21年 Typhus is an acute infectious disease caused by Rickettsia, which is often accompanied by ocular changes during the course of the disease, especially changes in the fundus. The author conducted 109 eye typhus inpatients eye examination, a special description of a preliminary for fellow reference. Ophthalmic changes Ⅰ, Outer eye changes: Only a very small number of cases were found to have conjunctival hyperemia and shame symptoms during the high fever period; 27% of patients had slow pupil adjustment but good light response. No other changes. Eye abscess, subconjunctival hemorrhage, conjunctival rash, ophthalmoplegia, corneal ulcer, iritis, and complicated cataracts were not observed in the cases we observed. This point and Japan Showa 21 years