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1
題名:DELAYED ASPERGILLUS VERSICOLOR INFECTION AFTER LASER IN SITU KERATOMILEUSIS--A CASE REPORT     (12點)
角膜原位層狀雷射手術後之延遲Aspergillus versicolor感染--病例報告
著者:Pei-Chen Wu(吳佩蓁) ;Pei-Yin Hsueh(薛珮吟) ;Li-Ju Lai(賴麗如)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:laser in situ keratomileusis ; LASIK ; Aspergillus versicolor ; keratitis
刊名:中華民國眼科醫學會雜誌
卷期:48卷4期(2009.12)
頁碼:550-555
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一位病人在角膜原位層狀雷射手術一 個月後Aspergillus versicolor 角膜炎 方法:一位二十八歲男性在角膜原位層狀雷射手 術一個月後,雙眼發紅且視力下降。細隙燈檢查顯示 除中心角膜澄清外,角膜瓣之界面發炎,且無前房反 應。他的症狀在使用廣效性抗生素及類固醇眼藥水後 更加嚴重。因此施行角膜瓣之沖洗及培養。結果:培養結果顯示A. versicolor 感染。角膜炎 在amphotericin B 及natamycin 治療下好轉。雙眼視 力在一個月抗徽菌藥物治療後回復20/22 及20/詣。 結論:這是第一位原位角膜層狀于術後A. versicolor 角膜炎的病人。這告訴我們原位角膜層狀 手術數個月後仍有感染可能,並提醒病人和醫師術後 終生都要對感染的發生有所警覺。
Purpose: To repo 叫a case of Aspergi//us versic%rkeratitis that developing one month after laser 的situ keratomileusis (LASIK). Methods: A 28-year-old man experienced redness and decreased vision in both eyes one month after LASIK. Slit-Iamp examination revealed inflammation of the bilateral flap interface with central cornea sparing and no anterior chamber reaction. His symptoms and signs progressed even with topical broad-spectrum antibiotics and topical steroids. Corneal scrapings were obtained for culture. Results: Cultures revealed A. vers~泣。';or. Keratitis resolved after topical amphotericin B and natamycin therapy. Visual acuity of 20/22 and 20/25 was achieved one month after antifungal therapy. Conclusions: This is the first repo 吋on A. versic%r keratitis after LASIK, demonstrating the risk of fungal keratitis occurring months after LASIK and emphasizing the need for long term postoperative alertness by the patient and physician.


    

本卷期目次
中華民國眼科醫學會雜誌 48卷4期 (2009.12)
青光眼手術及最新發展/ 呂大文陳怡豪
青光眼藥物治療的現狀與趨勢/ 吳國揚
透視青光眼檢查之雙面觀/ 陳瑛瑛
非動脈炎前缺血性視神經病變(NA-AION)的治療新趨勢/ 蔡榮坤
頸動脈海綿竇瘻管的新治療發展/ 王安國
青光眼臨床試驗之臨床應用:高眼壓症治療臨床試驗及正常眼壓性青光眼臨床試驗/ 張雪麗郭雅慧
視覺路徑病變之診斷定位/ 王安國
視神經退化疾病的神經保護治療/ 蔡榮坤
青光眼視神經病變的鑑別診斷/ 王清泓
MULTIFOCAL LENSES/ Hui-Chun LaiKen-Kuo LinWei-Chieh ChiuChiun-Ho HouJiahn-Shing LeeHan-Chih Cheng
白內障手術前後角膜生物力學之比較/ 徐文錦曾佳慧何一滔林思源林素玲
PERIOCULAR INFLAMMATION ASSOCIATED WITH ALENDRONATE THERAPY: A CASE REPORT AND REVIEW/ Yu-Ying ChangYi-Chun ChenI-Chia LiangChun-Chang LinShun-Ling Lin
CENTRAL RETINALARTERY OCCLUSION IN A YOUNG MALE: A CASE REPORT/ Hsiao-Cheng LinJen-Hua HsuChing-Yao TsaiShiow-Wen Liou
RETINAL VASCULITIS FOLLOWING CORNEAL PENETRATING INJURY--A CASE REPORT/ Pei-Hsuan LinNan-Kai WangKuan-Jen ChenKeng-Kuo LinLung-Kun, Yeh
SPONTANEOUS SEPARATION OF ACUTE MACULAR PUCKER AFTER RETINAL PHOTOCOAGULATION FOR PERIPHERAL RETINAL DEGENERATION--DOCUMENTED BY OPTICAL COHERENCE TOMOGRAPHY/ Hsi-Kung KuoChun-Chia SuChih-Hsin ChenTien-En Huang
DELAYED ASPERGILLUS VERSICOLOR INFECTION AFTER LASER IN SITU KERATOMILEUSIS--A CASE REPORT/ Pei-Chen WuPei-Yin HsuehLi-Ju Lai
CHOROIDAL REACTIVE LYMPHOID HYPERPLASIA--A CASE REPORT/ Yan-Ting ChenSan-Ni Chen
SUCCESSFUL TRABECULECTOMY FOR CHILDHOOD GLAUCOMA ASSOCIATED WITH ATYPICAL STURGE-WEBER SYNDROME AND TURNER'S SYNDROME/ Hsin-Yu YaoDa-Wen LuYen-Shou ChouJiann-Tong Chen
CRYSTALLINE KERATOPATHY CAUSED BY ALOCASIA MACRORRHIZA RELATED TRAUMA/ Yi-Hao HoYi-Yu TsaiChun-Chi Chiang
MIDLINE FOREHEAD FLAP FOR COVERAGE OF EXPOSED EXENTERATED ORBITAL WALLAFTER RADIOTHERAPY/ Ning-Chia WangYueh-Ju TsaiFu-Rung YangLih Ma
PRIMARY USE OF PNEUMATIC RETINOPEXY IN MANAGING OF RETINAL DETACHMENT CAUSED BY OCULAR PERFORATION AFTER RETROBULBAR ANESTHESIA--CASE REPORT/ Chun-Ju LinChong-Bin TsaiJiunn-Feng HwangSan-Ni Chen
 
   
 
   

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