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几年来我院收治3例3眼单疱性角膜炎因不合理应用皮质激素而敛角膜穿孔继发眼内炎,经多方抢救治疗终未能挽救视力及保留眼球,教训匪浅。病例介绍 [例1]米×,男,36岁。因右眼地图状角膜溃疡3个月继发眼内炎收住院治疗。住院前在当地曾用0.5％氯霉素滴眼液加地塞米松注射液5毫克(以下简称氟氯合剂滴眼液)滴眼,2小时一次,晚间使用四环素可的松眼膏一次。同时口服维生素AD、维生素C、强的松及磺胺等药物,一周后症状减轻,之后反复发作,间断应用氟氯合剂滴眼液,5天来患眼
In recent years, our hospital admitted 3 cases of 3 cases of unilateral bullous keratitis due to irrational use of corticosteroids and convergence of punctate secondary endophthalmitis, after multi-party rescue treatment failed to save eyesight and retain the eye, the lesson learned. Case description [Example 1] m ×, male, 36 years old. Due to the right eye map corneal ulcer 3 months secondary to endophthalmitis admission hospital treatment. Before hospitalization in the local once with 0.5% chloramphenicol eye drops plus dexamethasone injection 5 mg (hereinafter referred to as fluorocarbon eye drops) eye drops, once every 2 hours, evening tetracycline cortisone ointment once. At the same time oral vitamin AD, vitamin C, prednisone and sulfonamide and other drugs, reduce the symptoms a week later, after repeated attacks, intermittent use of fluorochlorohydrin eye drops, 5 days to the eye