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我们在真菌性角膜溃疡的病原性真菌分离研究中,最近发现一例茄病镰刀菌性角膜溃疡,报道如下: 患者女,24岁,农民,江西丰城人。患者于多天前感有眼红、畏光、流泪、疼痛,肌注青毒素,用金霉素眼膏、氯霉素眼药水等治疗,病情不断加重,并在右眼眼珠上长白膜,渐见扩大,视力模糊。于1989年7月15日来院就诊。眼科情况:视力,左眼1.2,右眼指数/33cm。右眼结膜囊有少量乳白色粘液样分泌物,球结膜混合性充血(卅),角膜偏颞侧有乳白色混浊浸润8mm×10mm,中央溃疡形成6mm×7mm,表面凹凸不平,较湿润,溃疡组织极易刮下,角膜鼻侧上方遗留3mm透亮区,在药物扩瞳后,可见鼻侧上方瞳孔缘。未窥见明显前房积脓,玻璃体、眼底均不能窥视。
We in the fungal corneal ulcer pathogenic fungi separation study, recently found a case of Fusarium solani corneal ulcer, reported as follows: Female patient, 24 years old, farmer, Jiangxi Fengcheng. The patient felt jealous, photophobia, tearing, pain and many days ago with penicillin, chlortetracycline eye drops, chloramphenicol eye drops and so on. His condition continued to worsen. See enlarged, blurred vision. In July 15, 1989 to the hospital. Ophthalmology: visual acuity, left eye 1.2, right eye index / 33cm. The right conjunctival sac with a small amount of milky mucin-like secretions, conjunctival hyperemia (卅), corneal temporal hemisphere opacity infiltration 8mm × 10mm, the formation of central ulcer 6mm × 7mm, uneven surface, more humid, ulcerated tissue pole Easy to scrape, leaving 3mm above the corneal nasal translucent area, after the drug dilated, showing the nasal pupil edge above. No glimpse of obvious empyema empyema, vitreous, fundus can not peep.