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龙胆紫用作角膜染色剂有其杀菌、防腐、存放稳定、取材方便等优点,但切勿把外用与眼用溶液在浓度、放置、使用上混淆,造成误伤角膜。笔者于今年门诊工作中曾遇到1例,因将外用的2%龙胆紫误作角膜染色检查而引起角膜上皮剥脱,特报告如下,以引起警惕。患者王×,男性,24岁,汉族,黑龙江人,本部修配厂战士。因右眼内溅入异物,于1979年4月20日就诊。经用生理盐水冲洗取出异物后,眼内异物仍感未消失,而将外用的2%龙胆紫误点眼内进行角膜染色检查。滴眼后即感患眼疼痛,异物感更明显,似碎砂样磨擦,怕光、流泪、眼睁不开。体格检查:痛苦病容,心肺正常,全身其他状况良好。
Gentian violet for corneal staining has its advantages of sterilization, preservation, storage stability, drawing convenience, etc., but not to topical and ophthalmic solution concentration, placement, use on the confusion, resulting in injury to the cornea. I encountered in this year’s out-patient work in 1 case, due to topical 2% gentian violet mistaken for corneal staining caused corneal epithelial exfoliation, special report as follows, to arouse vigilance. Patient Wang ×, male, 24 years old, Han nationality, Heilongjiang people, headquarters repair factory warriors. Due to splashed foreign body in the right eye, on April 20, 1979 treatment. After washing with saline to remove foreign body, the intraocular foreign body still did not disappear, while the topical 2% gentian violet intraocular corneal staining. Eye drops that immediately feel eye pain, foreign body sensation is more obvious, like broken sand-like friction, fear of light, tears, eyes can not open. Physical examination: painful, normal heart and lungs, the rest of the body in good condition.