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1
題名:FONSECAEA FUNGAL KERATITIS AFTER RADIAL KERATOTOMY--A CASE REPORT     (10點)
放射狀角膜切開術後罕見之著色真菌成染--病例報告
著者:Wu-Ping Lo(羅伍娉) ;Ching-Liang Kuo(郭晉良) ;Ming-Tse Kuo(郭明澤) ;Po-chiung Fang(方博炯)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Fonsecaea ; Fungal keratitis ; Radial keratotomy
刊名:中華民國眼科醫學會雜誌
卷期:48卷2期(2009.6)
頁碼:195-199
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一例放射狀角膜切開術後,感染罕見 的著色真菌,病發至治癒之經過。 方法:病例報告。 結果:一24 歲女性,於放射狀角膜切開手術術 後兩週,左眼疼痛角膜潰虜,經廣效性局部抗生素初 步治療無效並惡化,病原培養顯示為一罕見著色真菌 感染,改採用抗徽菌藥物併進行治療性角膜移植以控 制感染,感染受到控制後再施以清澈的角膜移植,使 病人在經歷嚴重地角膜感染之後,仍能保持最佳矯正 視力20/40 。 結論:放射狀角膜切開術術後後,若發生難以控 制的角膜潰瘓,要考慮其遭受罕見真菌感染的可能 性,而早期正確的病原培養可以幫助我們給予病人合 適的藥物治療,病患角膜雖感染程度嚴重,但加以積 極于術治療仍有可以保存可用視力的機會。
Purpose: To repo 門a case of ulcerative keratitis caused by Fonsecaea sp. after radial keratotomy. Method: Case report. Result: A 24 year-old female developed left eye pain two weeks after radial keratotomy. She was transferred to our hospital due to progressive pain despite of topical antibiotics treatment. The slitlamp biomicroscopic examination revealed a 5mm ring shape infiltrate up to 1/2 corneal depth with surrounding corneal edema. Initial smear from scrapping specimen did not show any pathogen. The culture revealed Fonsecaea sp. a chromoblastomycosis. The infiltrate progressed along the RK wound and intractable ocular pain developed even under the antifungal treatment with topical Amphotericin B and oral Ketoconazole. Therapeutic penetrating keratoplasty with glycerol preserved cornea was pe 斤。rmed 3 weeks after initial presentation. The infection was controlled and pain was relieved postoperatively. Fungal hyphae was identified on GMS and PAS stains of corneal button. She received an optical PK 6 months later with clear graft and corrected vision 20/40 till now. Conclusion: Fonsecaea sp. fungal ulcerative keratitis may occur after RK. Accurate diagnosis with proper medication and surgical intervention can cure the infection with favorable visual outcome


    

本卷期目次
中華民國眼科醫學會雜誌 48卷2期 (2009.6)
眼後房腫瘤的診斷與治療/ 陳祐瑲洪啟庭林思源蔡明霖
一種簡單的眼瞼下垂手術/ 吳鑑修
KERATOCONUS: DIAGNOSIS AND CONTACT LENS FITTING/ Chung-Ying HuangJiahn-Shing LeeChiun-Ho HouKen-Kuo Lin
THE RESULTS OF CATARACT SURGERY WITH TORIC INTRAOCULAR LENS IMPLANTATION IN PATIENTS WITH ASTIGMATISM/ Yun-Chuan ChenShih-Chun ChaoHung-Yu Lin
PRELIMINARY EXPERIENCE OF OCTYL-2-CYANOACRYLATE (DERMABOND) FOR EPIBLEPHARONCORRECTION IN TAIWAN CHILDREN/ Wei-Yi YehTzu-En WuCheng-Kuo Cheng
台灣地區精神分裂症病患立體感之初探/ 胡信傳蔡明霖曾冬勝高維聰陳南福呂慶祥洪啟庭
台灣一醫學中心青光眼門診病例型態及相關的眼球結構之分析/ 李金蓉藍郁文謝瑞玟
HALLERVORDEN-SPATZ SYNDROME PRESENTING AS BILATERAL OPTIC ATROPHY--A CASE REPORT/ I-Wen PanMuh-Chiou LinShwu-Jiuan Sheu
ORBITAL LIPOSARCOMA--A CASE REPORT/ Chih-Wei ShihChen-Tu WuHan-Min TsengShu-Lang Liao
ORBITAL CELLULITIS FOLLOWING HORDEOLUM IN AN IMMUNOCOMPROMISED PATIENT WITH DIABETES AND BREAST CANCER--A CASE REPORT/ Shwu-Huey LeeJack Yu-Shih LinKai WangSzu-Yuan LinShun-Ling Lin
ISOLATED TROCHLEAR NERVE PALSY ASSOCIATED WITH CAROTID-CAVERNOUS SINUS FISTULA: A CASE REPORT/ Fuh-Shiou ChuangChih-Ming LinI-Hung HseuYan-Kai FanSzu-Yuan Lin
FONSECAEA FUNGAL KERATITIS AFTER RADIAL KERATOTOMY--A CASE REPORT/ Wu-Ping LoChing-Liang KuoMing-Tse KuoPo-chiung Fang
CHRONIC POST-OPERATIVE ENDOPHTHALMITIS CAUSED BY AN UNUSUAL STRAIN--RHIZOBIUM RADIOBACTER/ Yi-Chun YangAn-Fei LiPei-Yu LinFenq-Lih Lee
MACULAR ABNORMALITIES AND TREATMENT AFTER CLEAR CORNEA PHACOEMULSIFICATION--AN OPTICAL COHERENCE TOMOGRAPHY STUDY/ Pin-fang ChenWei-Li ChenChang-Hao YangChung-May Yang
INCONTINENTIA PIGMENTI--A CASE REPORT/ Yu-Chou ChenChi-Wu Chang
ROSAI-DORFMAN DISEASE WITHINTRAOCULAR INVOLVEMENT/ Yi-Lin LiaoLing-Yuh Kao
疑頸部拔罐相關之中心視網膜動脈阻塞症/ 劉又綾黃峻峰羅綸謙陳珊霓
以淚腺腫瘤表現的羅塞-朵夫曼氏症--病例報告/ 蔡守恆高啟祥林智一
 
   
 
   

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