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患者男性,53岁,因右眼被玉米叶剌伤5天,自用滴眼液、眼膏治疗无效,1991年8月15日就诊。经检查,右眼视力0.5,左眼1.0。球结膜混合性充血,角膜中央区呈灰白色浸润,边界不清,荧光素着色。诊断为细菌性角膜溃疡,给予抗生素眼液、眼膏;球结膜下注射庆大霉素2万单位,隔日一次;口服抗生素和维生素类药物。治疗7天后,患者自觉症状时轻时重,溃疡面向周围和深层发展,充血加重,虹膜纹理不清,前房积脓,并有睫状体部压痛。即改用高浓度抗生素
Male patient, aged 53, due to the right eye was stabbed corn leaves for 5 days, self-use eye drops, ointment ineffective treatment, August 15, 1991 treatment. After examination, right eye vision 0.5, left eye 1.0. Conjunctival conjunctival hyperemia, corneal central area was gray infiltration, the border is unclear, fluorescein staining. Diagnosis of bacterial corneal ulcer, given antibiotic eye drops, eye ointment; ball conjunctival injection of gentamicin 20,000 units, once every other day; oral antibiotics and vitamin drugs. After 7 days of treatment, patients with mild symptoms when the light weight, ulcers for the surrounding and deep development, increased congestion, iris texture, empyema, and ciliary body tenderness. That switch to high concentrations of antibiotics