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頁籤選單縮合
題名 | Pseudomonas Aeruginosa Corneal Ulcer Related to Overnight Orthokeratology=過夜型角膜塑型術所引發的綠膿桿菌角膜炎 |
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作者 | 蕭靜熹; 葉龍坤; 趙安年; 陳永豐; 林耕國; | 書刊名 | 長庚醫學 |
卷期 | 27:3 2004.03[民93.03] |
頁次 | 頁182-187 |
分類號 | 416.711 |
關鍵詞 | 過夜型角膜塑型術; 綠膿桿菌; 角膜潰瘍; Corneal ulcer; Pseudomonas aeruginosa; Overnight orthokeratology; |
語文 | 英文(English) |
中文摘要 | 背景:評估過夜型角膜塑型術所引發的綠膿桿菌角膜炎病人的病史,臨床表現及視力預後。 方法:從2001年1月到2002年12月,共有6位病人因過夜型角膜塑術術引發綠膿桿菌角膜炎。 結果:病人的平均年齡為13歲,自配戴過夜形角膜型型術到產生角膜潰瘍的平均時間為17個月,6位病人皆以急性眼紅、疼痛前來求治。角膜潰瘍位置位於中心者有3位,中心偏旁者亦有3位。有1位微小潰瘍,其餘5位為中等大小的潰瘍。6位經適當的抗生素治療潰瘍皆癒合,6位中有4位中央角膜結疤或不規則散光造成最終最佳矯正視力喪失兩行以上。 結論:過夜型角膜塑型術可引發角膜潰瘍嚴重的併發症,並可能導致視力喪失。 |
英文摘要 | Background: Overnight orthokeratology was thought to be a safe and non-inveasive alternative for low-grade myopia and astigmatism correction. We assessed histories, clinical courses, and visual outcomes of the patients with pseudomonal keratitis related to overnight orthokeratology. Methods: The records of six patients with pseudomonal keratitis related ot overnight orthokeratology were reviewed from January 2001 thought December 2002. Results: The average age of the patients was 13 years. The average period between the time that the patient started the overnight orthokeratology program and the onset of infectious keratitis was 17 months. All patients presented with painful red eyes. The area of the corneal ulcer was central in three, and paracentral in three eyes. The corneal scrapings from these six patients revealed Pseudomonas aeruginosa. All patients responded well to topical antibiotic treatment. Two of six eyes had a final visual acuity within two lines of the pre-infection vision at the last follow-up. Four of the eyes examined lost their best-corrected visual acuity due to central corneal scar or irregular astigmatism. Conclusions: Overnight orthokeratology contact lens wear has the potential complication of pseudomonal keratitis and may cause significant visual impairment. |
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