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題名:SERRATIA MARCESCENS CORNEAL ULCER-COMPLICATIONS OF ORTHOKERATOLOGY-A CASE REPORT     (8點)
Serratia marcescens角膜潰瘍-Ortho-K引起之併發症-病例報告
著者:Tung-Mei Kuang(鄺冬梅) ;Ko-Hwa Chen(陳克華) ;Tse-Hsiang Yeh(葉則祥) ;Chih-Chiau Wu(吳志翹) ;Shui-Mei Lee(李淑美) ;Wen-Ming Hsu(許紋銘) ;Jorn-Hon Liu(劉榮宏)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Orthokeratology ; Serratia marcescens ; corneal ulcer ; complications
刊名:中華民國眼科醫學會雜誌
卷期:39卷3期(2000.9)
頁碼:282-285
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

Orthokeratology (Ortho-K)被認?可以治療近視,希望病人最終可以每天或隔天晚上戴一到二小時之維持鏡片,則可擁有整天良好的裸視視力。但是Ortho-K之效果不確定,而且有較高的感染機率,值得我們注意。 本文報告一例接受Ortho-K治療之九歲小孩,每晚戴上治療鏡片至隔天早上。暑假期間他從美國回來台灣時,突然覺得右眼疼痛,因此到診所求助,醫師給予抗生素治療,但是病情惡化,因此轉介至本院作進一步診治。初診時右眼視力?十公分處可辨手動,左眼視力?零點伍。右眼結膜紅腫,角膜中心處有潰瘍。前房蓄膿。住院後病人接受了細菌培養以及隱形眼鏡保存液培養等檢查。病人接受右眼每小時一次Ciloxan以及一天三次1% Atropine的治療。由於個人因素,病人於住院一天後要求出院,改?門診追蹤。出院後兩天病人仍有角膜破皮及浸潤的情形。隱形眼鏡保存液培養?Serratia marcescens,一週後角膜結疤情況穩定,病人於是回美國求學。
Orthokeratology is the technique of using rigid contact lenses to cause progressive flattening of the cornea to induce reduction in myopia and astigmatism. It is hoped that, ultimately, lens wearing time can be reduced to the minimum required to attain good functional vision throughout the day. However, orthokeratology suffers from lack of predictability and poses patients at great risk of infection. A 9-year old boy was under orthokeratology protocol for 6 months in USA. He was wearing hard contact lens overnight on daily basis. Painful right eye was noted when he came back to Taiwan for his summer vacation. His visual acuity was HM/10cm, CD and 6/12, OS on his first visit to our hospital. The conjunctiva of his right eye was severely congested and corneal edema with abscess on the center was noted. Corneal debridement, conjunctival swab, corneal scraping and cultures were performed. Contact lens storing solution was also sent for culture. Ciloxan, q1h OD day and night, 1% atropine tid CD were given. Culture of contact lens storing solution revealed Serratia marcescens which was sensitive to Ciloxan. Central scarring of cornea was noted. He was then returned to USA under stable condition. Patients who receive orthokeratology therapy must be followed carefully and instructed to contact their ophthalmologists whenever problems occur.


    

本卷期目次
中華民國眼科醫學會雜誌 39卷3期 (2000.9)
視網膜血管阻塞性病變/ 林嘉理
Macular Degeneration/ 李鳳利;整理:林欣怡
THE CLINICAL COURSE AND VISUAL MANAGEMENT OF CONGENITAL MYOPIA/ Yi-Hui ChiangLuke L-K. LinChong-Bin TsaiTzyy-Chang HoYung-Feng ShihPor T. Hung
THE EFFECT OF TROPICAMIDE VERSUS ATROPINE ON THE REFRACTIVE ERRORS OF MYOPIC CHILDREN/ Yi-Chien YangLin-Chung WoungHui-Hsin ChiangJeen-Hon JianYung-Feng Shih
循血綠眼底攝影指引雷射治療老年性黃斑部變性之中心窩外境界不明的脈絡膜新生血管/ 楊昌叔李鳳利林嘉理許紋銘劉榮宏
以接觸式二極體雷射經鞏膜睫狀體光凝固術治療頑抗性青光眼/ 林彥君張雪麗吳秀琛許慶堂
電腦Farnsworth-Munsell氏100-Hue色覺檢查程式及其臨床應用-初報/ 廖旭彬宋湖仙古婉珍
戴安全帽對視野的影響/ 王順弘蔡武甫
以傻瓜相機探測斜視之研究/ 沈秉衡曾崇彥
SERRATIA MARCESCENS CORNEAL ULCER-COMPLICATIONS OF ORTHOKERATOLOGY-A CASE REPORT/ Tung-Mei KuangKo-Hwa ChenTse-Hsiang YehChih-Chiau WuShui-Mei LeeWen-Ming HsuJorn-Hon Liu
IRIDOSCHISIS DEMONSTRATED BY ULTRASOUND BIOMICROSCOPY IN A PATIENT WITH VOGT-KOYANAGI-HARADA SYNDROME--CASE REPORT/ Elizabeth P. ShenChang-Ping LinWei-Lun LanPor T. HungPing-Kang Hou
OPTIC NEURITIS RELATED TO CHRONIC INFLAMMATORY DEMYELINATING POLYNEUROPATHY-A CASE REPORT/ Der-Chong TsaiPo-Kang LinKon-Ping LinKo-Pei KaoJorn-Hon Liu
GENOTYPIC DRIFT OF MITOCHONDRIAL DNA IN A PATIENT WITH LEBER'S HEREDITARY OPTIC NEUROPATHY/ May-Yung YenJorn-Hon LiuYau-Huei Wei
蜜峰螫傷角膜-病例報告/ 林正明蔡宜佑
羊膜應用於濾泡滲漏的修補術-病例報告/ 王文正蔡宜倫郭麗琳
外傷性結膜下水晶體移位-病例報告/ 邱仁宏李安斐蔡景耀李鳳利劉榮宏
同側半盲和威而剛-病例報告/ 黃峻峰鄭俊彥林清澤
多發輝閃性白點症候群-12病例報告/ 黃舜平林伯剛李安斐張由美許紋銘劉榮宏
FROSTED BRANCH ANGIITIS病例報告/ 詹維鈞陳立仁
高壓氣體引起的創傷性眼眶氣腫/ 郭麗君林建廷林正明蔡宜佑
 
   
 
   

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